Organization
TOTAL MIRACLE KIDS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY KENDALL (OWNER)
(704) 854-8399
Entity
Organization
Contact information
Practice address
212 W SECOND AVE STE F, GASTONIA, NC 28052-4055
(704) 854-8399
(704) 854-8410
Mailing address
212 W SECOND AVE STE F, GASTONIA, NC 28052-4055
(704) 854-8399
(704) 854-8410
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
08/15/2011
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