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Contact Information

A MIRACLE GROUP, LLC
3706 WINCHESTER DR
PORTSMOUTH, VA23707-4332
 Phone: 757-675-8763
 Fax: 757-483-6525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for A MIRACLE GROUP, LLC

NPI # 1932826906
LBN Legal business name A MIRACLE GROUP, LLC
Authorized official LISA OUTLAND - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2022
Last updated 10/20/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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