Organization
MIRACLES AND MANE
Active
Other names
Miracles and Mane Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
ANNSONIA LOUISE THOMAS (EXECUTIVE ASSISTANT OF OPERATIONS)
(254) 312-7012
Entity
Organization
Contact information
Practice address
4524 S W S YOUNG DR STE 102, KILLEEN, TX 76542-5888
(254) 702-2079
Mailing address
4524 S W S YOUNG DR STE 102, KILLEEN, TX 76542-5888
(254) 702-2079
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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