| Miracle Hands Llc | |
|
1839 Cochran Pl Charlotte NC 28205-3019 | |
| (704) 605-2178 | |
| Not Available |
| Full Name | Miracle Hands Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1839 Cochran Pl, Charlotte, North Carolina |
| Authorized Official Name and Position | Ervin Dexter Blakney (OWNER) |
| Authorized Official Contact | 7046052178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Hands Llc 1839 Cochran Pl Charlotte NC 28205 Ph: (704) 605-2178 | Miracle Hands Llc 1839 Cochran Pl Charlotte NC 28205-3019 Ph: (704) 605-2178 |
| NPI Number | 1043443781 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043443781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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