Organization
A MIRACLE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY KELLY (OWNER)
(414) 779-2729
Entity
Organization
Contact information
Practice address
6824 W APPLETON AVE APT 4, MILWAUKEE, WI 53216-2756
(414) 779-2729
Mailing address
6824 W APPLETON AVE, MILWAUKEE, WI 53216-2756
(414) 779-2729
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
06/11/2013
Last updated
07/21/2022
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