Miracle Adult Day Health Care, INC.
Clinic/Center, Adult Day Care in San Bernardino, CA. Organization (NPI-2).
NPI number1982208336
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1982208336
- Entity type
- Organization (NPI-2)
- Legal business name
- Miracle Adult Day Health Care, INC.
- Organization subpart
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 24, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Practice location
2050 N Mount Vernon AveSan Bernardino, CA 92411-1436
Phone 909-880-0009 · Fax 909-880-0006
Mailing address
2050 N Mount Vernon AveSan Bernardino, CA 92411-1436
Phone 909-880-0009 · Fax 909-880-0006
Authorized official
Frida Zakaryan
Ceo
3238995510
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