Organization
MIRACLE CAREGIVERS FOR NEEDY CHILDREN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLORISSAL RENEL ALCANTARA N.A (CEO)
(404) 696-4220
Entity
Organization
Contact information
Practice address
366 WILLIS MILL RD SW, ATLANTA, GA 30311-1730
(404) 696-4220
(404) 699-2676
Mailing address
366 WILLIS MILL RD SW, ATLANTA, GA 30311-1730
(404) 696-4220
(404) 699-2676
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
FR-17061
GA
Other
Enumeration date
12/02/2006
Last updated
08/22/2020
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