Organization
MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.
Active
Other names
Miracle Hill Outpatient Rehabilitative Services
Organization subpart
Yes
Provider details
NPI number
Authorized official
AIDIA KIRKSEY (CONTROLLER)
(850) 661-9779
Entity
Organization
Contact information
Practice address
1329 ABRAHAM ST, TALLAHASSEE, FL 32304-1907
(850) 224-8486
(850) 224-8815
Mailing address
1329 ABRAHAM ST, TALLAHASSEE, FL 32304-1907
(850) 224-8486
(850) 224-8815
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SNF1354096
—
FL
Enumeration date
07/20/2018
Last updated
10/08/2021
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