Total Miracle Kids,inc. | |
212 W 2nd Ave Ste A Gastonia NC 28052-4055 | |
(704) 854-8399 | |
(704) 854-8410 |
Full Name | Total Miracle Kids,inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 212 W 2nd Ave Ste A, Gastonia, North Carolina |
Authorized Official Name and Position | Tiffany Kendall (DIRECTOR) |
Authorized Official Contact | 7048548399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Total Miracle Kids,inc. 208 Kaitlyn Ln Kings Mountain NC 28086-3951 Ph: (704) 854-4942 | Total Miracle Kids,inc. 212 W 2nd Ave Ste A Gastonia NC 28052-4055 Ph: (704) 854-8399 |
NPI Number | 1053505941 |
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Provider Enumeration Date | 09/04/2007 |
Last Update Date | 09/04/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053505941 | NPI | - | NPPES |
8300955B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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