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Miracle House Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Troutman, North Carolina
NPI 1184188104

Miracle House Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Charlotte, NC. Miracle House Inc practices in Troutman, NC. The NPI Number for Miracle House Inc is 1184188104 and holds a License No. (North Carolina).

The current practice location address for Miracle House Inc is 332 Winchester Rd, Troutman, NC and can be reached out via phone at 704-535-4447 and via fax at 704-535-4476.

Location: 332 Winchester Rd, Troutman, NC, 28227-9473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184188104
Provider Name
Miracle House Inc
Credential
Provider Entity Type
Organization
Address
332 Winchester Rd, Troutman, NC, 28227-9473
Phone Number
704-535-4447
Fax Number
704-535-4476
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
35184242 05 NC
35184241 05 NC
3518424 05 NC
institution
Provider Business Practice Location Address Details
Address
332 Winchester Rd
City
Troutman
State
North Carolina
Zip
28166-9644
Phone Number
704-535-4447
Fax Number
704-535-4476
person
Provider Business Mailing Address Details
Address
332 Winchester Rd
City
Troutman
State
North Carolina
Zip
28166-9644
Phone Number
704-535-4447
Fax Number
704-535-4476
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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