Miracle Comprehensive Serivces

NPI #1417599945 in Matteson, Illinois

Provider Information

NPI Number: 1417599945
Entity Type: Organization
Organization Name: Miracle Comprehensive Serivces
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 4440 LINCOLN HWY STE 205
City: Matteson
State: Illinois
ZIP Code: 60443-3803
Phone: (708) 769-1737

Authorized Official

Name: MS. EME UDOETUK
Title: ADMINISTRATOR
Phone: (708) 769-1737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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