Organization
MIRACLE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAMIDE BANKOLE (PRESIDENT)
(804) 533-9773
Entity
Organization
Contact information
Practice address
345 S 16TH ST APT H8, LEBANON, PA 17042-5820
(804) 533-9773
Mailing address
345 S 16TH ST APT H8, LEBANON, PA 17042-5820
(804) 533-9773
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/27/2021
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