Miracle Guardian Care LLC

NPI #1275348658 in Broomfield, Colorado

Provider Information

NPI Number: 1275348658
Entity Type: Organization
Organization Name: Miracle Guardian Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 11, 2025
Last Updated: Feb 11, 2025

Practice Location

Address: 5002 YATES CIR
City: Broomfield
State: Colorado
ZIP Code: 80020-5758
Phone: (303) 870-8632

Authorized Official

Name: STACY WARDEN
Title: DIRECTOR
Phone: (303) 870-8632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Respite Care	385H00000X
Homemaker	376J00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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