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Miracle Vally Assisting Living

Assisted Living Facility in Corsicana, TX. Organization (NPI-2).

NPI number1508143447
StatusActive
Last updated in NPPESNov 7, 2011

Details

NPI
1508143447
Entity type
Organization (NPI-2)
Legal business name
Miracle Vally Assisting Living
Organization subpart
No
Enumeration date
Nov 7, 2011
Last updated
Nov 7, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility–TXYes

Practice location

800 E 3rd Ave
Corsicana, TX 75110-4715

Phone 469-865-3132

Mailing address

800 E 3rd Ave
Corsicana, TX 75110-4715

Authorized official

Artra M Buckley
Vice President
4698653132

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Assisted Living Facility providers in Corsicana, TX

All 5 Assisted Living Facility providers in Corsicana · All 558 providers in Corsicana

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