Organization
MIRACLE CARE
Active
Other names
Miracle Care Hospice & Palliative Care, Miracle DMEPOS, Miracle Care, LLC, Miracle Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
JATTY D ZONDO (CEO)
(612) 688-7661
Entity
Organization
Contact information
Practice address
815 6TH ST SW, WADENA, MN 56482-1928
(612) 688-7661
(612) 688-7672
Mailing address
815 6TH ST SW, WADENA, MN 56482-1928
(612) 688-7661
(612) 688-7672
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
310400000X
Assisted Living Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/23/2022
Last updated
09/25/2024
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