Organization
MIRACLE MEDICAL TRANSPORTATION,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAINA UCHITEL (PRESIDENT)
(440) 336-1646
Entity
Organization
Contact information
Practice address
5655-A N. GREENWAY CT, HIGHLAND HTS, OH 44143
(440) 336-1646
(440) 229-5010
Mailing address
6700 BETA DR, SUITE #118, MAYFIELD VILLAGE, OH 44143
(440) 336-1646
(440) 229-5010
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2313688
—
OH
Enumeration date
04/26/2007
Last updated
09/17/2007
Update your record
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