Provider Demographics
NPI:1861749285
Name:MIRACLE CARE INC
Entity type:Organization
Organization Name:MIRACLE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YEHUDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SZANZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-239-2225
Mailing Address - Street 1:13 EMPIRE LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5162
Mailing Address - Country:US
Mailing Address - Phone:732-239-2225
Mailing Address - Fax:
Practice Address - Street 1:13 EMPIRE LN
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5162
Practice Address - Country:US
Practice Address - Phone:732-239-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No252Y00000XAgenciesEarly Intervention Provider Agency