Organization
MIRACLE ADULT DAY HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRIDA ZAKARYAN (CEO)
(323) 899-5510
Entity
Organization
Contact information
Practice address
2050 N MOUNT VERNON AVE, SAN BERNARDINO, CA 92411-1436
(909) 880-0009
(909) 880-0006
Mailing address
2050 N MOUNT VERNON AVE, SAN BERNARDINO, CA 92411-1436
(909) 880-0009
(909) 880-0006
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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