Organization
MIRACLE RESTORATION
Active
Organization
MIRACLE RESTORATION
Active
Other names
miracle restoration
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DIANE WHITE (OWNER)
(910) 493-1376
Entity
Organization
Contact information
Practice address
4850 OLD SAVANNAH CHURCH RD, FAYETTEVILLE, NC 28312-9183
(910) 483-1376
(910) 483-2653
Mailing address
4850 OLD SAVANNAH CHURCH RD, FAYETTEVILLE, NC 28312-9183
(910) 483-1376
(910) 483-2653
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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