Organization
A MIRACLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PETRONIA BELL (PRESIDENT)
(734) 444-8987
Entity
Organization
Contact information
Practice address
31904 CALHOUN CT, WESTLAND, MI 48186-4708
(734) 444-8987
(734) 725-5466
Mailing address
31904 CALHOUN CT, WESTLAND, MI 48186-4708
(734) 444-8987
(734) 725-5466
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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