Organization
A MIRACLE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE T WILLIAMS (OPERATIONAL MANAGER)
(912) 667-7970
Entity
Organization
Contact information
Practice address
3 HIDDEN LAGOON CT, SAVANNAH, GA 31419-9891
(912) 667-7970
Mailing address
3 HIDDEN LAGOON CT, SAVANNAH, GA 31419-9891
(912) 667-7970
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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