Provider Demographics
NPI:1245574425
Name:MIRACLE CARE
Entity Type:Organization
Organization Name:MIRACLE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HRIPSIME
Authorized Official - Middle Name:
Authorized Official - Last Name:VALESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-342-5006
Mailing Address - Street 1:3103 PHILMONT AVE
Mailing Address - Street 2:SUITE 346
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-4263
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3103 PHILMONT AVE
Practice Address - Street 2:SUITE 346
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4263
Practice Address - Country:US
Practice Address - Phone:267-342-5006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance