Organization
A MIRACULOUS TOUCH, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA G. RICHARDSON (ADMINISTRATOR)
(817) 230-4668
Entity
Organization
Contact information
Practice address
4701 ALTAMESA BLVD, SUITE 2-C, FORT WORTH, TX 76133-6115
(817) 230-4668
(817) 350-4381
Mailing address
4701 ALTAMESA BLVD, SUITE 2-C, FORT WORTH, TX 76133-6115
(817) 230-4668
(817) 350-4381
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
010544
TX
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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