Miracle Nursing, LLC
Organization Active NPI Home Health Agency · Byron, IL
NPI 1609288661 · NPPES record last updated May 27, 2014
Key facts
- NPI
- 1609288661
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 043069339 (IL)
- Legal business name
- MIRACLE NURSING, LLC
- Practice address
- 6601 N Friday Rd
Byron, IL 61010-8820 - Phone
- (815) 621-0954
- NPI assigned
- May 27, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mary Margaret Witt, LPN, WCC
- Title
- Owner
- Phone
- (815) 621-0954
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 043069339 | IL | Yes |
Addresses
Primary practice location
6601 N Friday Rd
Byron, IL 61010-8820
Mailing address
PO Box 521
Byron, IL 61010-0521
Phone (815) 621-0954
Other providers in Byron, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.