MIRACLE VALLY ASSISTING LIVING NPI 1508143447

NPI Information

NPI: 1508143447
Provider Name: MIRACLE VALLY ASSISTING LIVING
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
800 E 3RD AVE
CORSICANA, TX
ZIP 75110
Phone: (469) 865-3132
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MIRACLE VALLY ASSISTING LIVING is an assisted living facility in Corsicana, TX. 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 VALLY ASSISTING LIVING NPI is 1508143447. The provider is registered as an organization entity type.

The provider's business location address is:

800 E 3RD AVE
CORSICANA, TX
ZIP 75110-715
Phone: (469) 865-3132

The provider's authorized official is Artra M Buckley .
The authorized official title is Vice President and has the following contact phone number (469) 865-3132.

The enumeration date for this NPI number is 11/7/2011 and was last updated on 11/7/2011.

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
1	310400000X	Assisted Living Facility			TEXAS	Yes

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

NPI Synchronization or Removal

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