Organization
MIRACLE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHUDA SZANZER (DIRECTOR)
(732) 239-2225
Entity
Organization
Contact information
Practice address
13 EMPIRE LN, LAKEWOOD, NJ 08701-5162
(732) 239-2225
Mailing address
13 EMPIRE LN, LAKEWOOD, NJ 08701-5162
(732) 239-2225
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/06/2012
Last updated
10/10/2012
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