| Miracle Health Care Services Llc | |
|
2627 Providence Rd Charlotte NC 28211-2238 | |
| (980) 219-7315 | |
| Not Available |
| Full Name | Miracle Health Care Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2627 Providence Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Xavier L Young (CEO) |
| Authorized Official Contact | 9802197315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Health Care Services Llc 2627 Providence Rd Charlotte NC 28211-2238 Ph: (980) 219-7315 | Miracle Health Care Services Llc 2627 Providence Rd Charlotte NC 28211-2238 Ph: (980) 219-7315 |
| NPI Number | 1568938140 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 10/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568938140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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