Organization
MIRACLE EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAH IBRAHIM (OWNER)
(510) 761-6686
Entity
Organization
Contact information
Practice address
3030 DUNVALE RD APT 9205, HOUSTON, TX 77063-4482
(510) 761-6686
Mailing address
2101 CHIPMAN AVE, ALAMEDA, CA 94501-3183
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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