MIRACLE WORKERS C.L.A. LLC NPI 1851676506

NPI Information

NPI: 1851676506
Provider Name: MIRACLE WORKERS C.L.A. LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5 VINEYARD HAVEN DR
POOLER, GA
ZIP 31322
Phone: (912) 247-8424
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MIRACLE WORKERS C.L.A. LLC is an assisted living facility in Pooler, GA. 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 WORKERS C.L.A. LLC NPI is 1851676506. The provider is registered as an organization entity type.

The provider's business location address is:

5 VINEYARD HAVEN DR
POOLER, GA
ZIP 31322-250
Phone: (912) 247-8424

The provider's authorized official is Melissa Green .
The authorized official title is Owner and has the following contact phone number (912) 247-8424.

The enumeration date for this NPI number is 10/13/2011 and was last updated on 10/13/2011.

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		PCH001449	GEORGIA	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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