Miracle Houses, Inc. | |
3316 Waxhaw Indian Trail Rd Indian Trail NC 28079-4233 | |
(704) 535-4447 | |
(704) 535-4476 |
Full Name | Miracle Houses, Inc. |
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Speciality | Community/behavioral Health |
Location | 3316 Waxhaw Indian Trail Rd, Indian Trail, North Carolina |
Authorized Official Name and Position | Patsy Y Camp (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7045354447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Miracle Houses, Inc. 3316 Waxhaw Indian Trail Rd Indian Trail NC 28079-4233 Ph: (704) 535-4447 | Miracle Houses, Inc. 3316 Waxhaw Indian Trail Rd Indian Trail NC 28079-4233 Ph: (704) 535-4447 |
NPI Number | 1285172460 |
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Provider Enumeration Date | 02/07/2017 |
Last Update Date | 02/07/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285172460 | NPI | - | NPPES |
005363 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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