| 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 |
|---|---|
| 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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