MIRACLE RESTORATION NPI 1750517496

NPI Information

MIRACLE RESTORATION is an assisted living facility in Fayetteville, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MIRACLE RESTORATION NPI is 1750517496. The provider is registered as an organization entity type.
The provider Is Doing Business As Miracle Restoration.

The provider's business location address is:

4850 OLD SAVANNAH CHURCH RD
FAYETTEVILLE, NC
ZIP 28312-183
Phone: (910) 483-1376
Fax: (910) 483-2653

The provider's authorized official is Victoria Diane White .
The authorized official title is Owner and has the following contact phone number (910) 493-1376.

The enumeration date for this NPI number is 6/9/2009 and was last updated on 6/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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