NPI 1003433145
Miracle Group LLC
Practice location
- Address
- 7713 Miller Fall Rd, Rockville, MD 20855-1127
- Phone
- (301) 535-9488
- Fax
- (301) 987-7223
Authorised official
- Name
- Favor Peter
- Title
- Administrator
- Phone
- (301) 535-9488
Registered specialties
Meals Provider
Primary
Registry record
- NPI
- 1003433145
- Entity type
- Organization
- NPI issued
- 5 Jul 2020
- Record last updated
- 5 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.