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MIRACLE ADULT DAY HEALTH CARE INC. NPI 1982208336


NPI Information

NPI: 1982208336
Provider Name: MIRACLE ADULT DAY HEALTH CARE, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2050 N MOUNT VERNON AVE
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 880-0009
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MIRACLE ADULT DAY HEALTH CARE, INC. is an adult day care clinic center in San Bernardino, CA. MIRACLE ADULT DAY HEALTH CARE, INC. NPI is 1982208336. The provider is registered as an organization entity type.

The provider's business location address is:

2050 N MOUNT VERNON AVE
SAN BERNARDINO, CA
ZIP 92411-436
Phone: (909) 880-0009
Fax: (909) 880-0006

The provider's authorized official is Frida Zakaryan .
The authorized official title is Ceo and has the following contact phone number (323) 899-5510.

The enumeration date for this NPI number is 11/25/2020 and was last updated on 11/25/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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