Provider Demographics
NPI:1528660651
Name:MONICA'S MIRACLES
Entity type:Organization
Organization Name:MONICA'S MIRACLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROMONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:216-253-2022
Mailing Address - Street 1:1060 GRAHAM RD # A-2
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2960
Mailing Address - Country:US
Mailing Address - Phone:330-807-7675
Mailing Address - Fax:
Practice Address - Street 1:1060 GRAHAM RD # A-2
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44224-2960
Practice Address - Country:US
Practice Address - Phone:216-253-2022
Practice Address - Fax:234-571-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services