| Miracle Health Services, Llc | |
|
800 Shipyard Blvd Suite 3 Wilmington NC 28412-6442 | |
| (910) 538-1096 | |
| Not Available |
| Full Name | Miracle Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 Shipyard Blvd, Wilmington, North Carolina |
| Authorized Official Name and Position | Yushonda Midgette (OWNERS) |
| Authorized Official Contact | 9105381096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Health Services, Llc 800 Shipyard Blvd Suite 3 Wilmington NC 28412-6442 Ph: (910) 538-1096 | Miracle Health Services, Llc 800 Shipyard Blvd Suite 3 Wilmington NC 28412-6442 Ph: (910) 538-1096 |
| NPI Number | 1457588238 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 06/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457588238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7675194 (North Carolina) | Primary |
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