Provider Demographics
NPI:1376256933
Name:THE MIRELES GROUP MARKETING & BILLING SERVICES LLC
Entity Type:Organization
Organization Name:THE MIRELES GROUP MARKETING & BILLING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-594-5980
Mailing Address - Street 1:7273 MURRAY DR STE 3A
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-3385
Mailing Address - Country:US
Mailing Address - Phone:209-594-5980
Mailing Address - Fax:800-783-4876
Practice Address - Street 1:7273 MURRAY DR STE 3A
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-3385
Practice Address - Country:US
Practice Address - Phone:209-594-5980
Practice Address - Fax:800-783-4876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty