Miracle Vally Assisting Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIRACLE VALLY ASSISTING LIVING

Practice address

800 E 3Rd Ave
Corsicana, TX 75110-4715

Phone

(469) 865-3132

NPI assigned

Nov 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Artra M Buckley

Title

Vice President

Phone

(469) 865-3132

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1508143447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 3RD AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 3RD AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104715",
            "telephone_number": "469-865-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE VALLY ASSISTING LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "ARTRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "469-865-3132"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.