Miracle Restoration

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIRACLE RESTORATION

Doing business as

miracle restoration

Practice address

4850 Old Savannah Church Rd
Fayetteville, NC 28312-9183

Phone

(910) 483-1376

Fax

(910) 483-2653

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Victoria Diane White

Title

Owner

Phone

(910) 493-1376

Specialties & licenses 1

Addresses

Other names 1

• miracle restoration Doing business as

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1750517496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 OLD SAVANNAH CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129183",
            "telephone_number": "910-483-1376",
            "fax_number": "910-483-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 OLD SAVANNAH CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129183",
            "telephone_number": "910-483-1376",
            "fax_number": "910-483-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-493-1376"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "miracle restoration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth McCann Mines, CTRS,MS
• Susan Elizabeth Miniello, ATC
• Jill M Minogue, LPCC
• Barry W Minor, CP
• Alicia Minson
• Kayla Miragila
• Wendy Miranda
• Kimberly C Miree, LMBT
• Donna Jean Mitchell-Barnes, PA-C
• Alexis Rinee Mitchell, LCMHCA

• Assisted Living Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.