Miracles Supportive Services, LLC
NPI #1487884748 in Tarboro, North Carolina
Provider Information
- NPI Number
- 1487884748
- Entity Type
- Organization
- Organization Name
- Miracles Supportive Services, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 21, 2009
- Last Updated
- Nov 19, 2009
Practice Location
- Address
- 217 N MAIN ST
- Address 2
- 204
- City
- Tarboro
- State
- North Carolina
- ZIP Code
- 27886-5054
- Phone
- (252) 314-5141
Authorized Official
- Name
- MRS. ANNISCIA MONIQUE SHERROD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (252) 885-3347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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