| Miracle Houses Inc | |
|
7508 E Independence Blvd Suite 119 Charlotte NC 28227-9473 | |
| (704) 535-4447 | |
| Not Available |
| Full Name | Miracle Houses Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7508 E Independence Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Patsy Young Camp (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7045354447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Houses Inc 7508 E Independence Blvd Suite 119 Charlotte NC 28227-9473 Ph: () - | Miracle Houses Inc 7508 E Independence Blvd Suite 119 Charlotte NC 28227-9473 Ph: (704) 535-4447 |
| NPI Number | 1861796179 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 12/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861796179 | NPI | - | NPPES |
| 1649310400 | Medicaid | NC | |
| 1801023114 | Medicaid | NC | |
| 1457522930 | Medicaid | NC | |
| 1881734275 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 111204 (North Carolina) | Primary |
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