Organization
MIRACLE HOSPICE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINGO MATEO BACCAY JR. (PRESIDENT)
(818) 267-7945
Entity
Organization
Contact information
Practice address
3311 S RAINBOW BLVD STE 129, LAS VEGAS, NV 89146-6208
(702) 268-8112
(702) 268-8915
Mailing address
3311 S RAINBOW BLVD STE 129, LAS VEGAS, NV 89146-6208
(702) 268-8112
(702) 268-8915
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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