| Miracles Supportive Services, Llc | |
|
217 N Main St 204 Tarboro NC 27886-5054 | |
| (252) 314-5141 | |
| Not Available |
| Full Name | Miracles Supportive Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 217 N Main St, Tarboro, North Carolina |
| Authorized Official Name and Position | Anniscia Monique Sherrod (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2528853347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracles Supportive Services, Llc 217 N Main St 204 Tarboro NC 27886-5054 Ph: (252) 314-5141 | Miracles Supportive Services, Llc 217 N Main St 204 Tarboro NC 27886-5054 Ph: (252) 314-5141 |
| NPI Number | 1487884748 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487884748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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