NPI 1003519273
Mirakell L.L.C.
Practice location
- Address
- 1445 Silverton Dr, Baton Rouge, LA 70815-5363
- Phone
- (225) 475-0009
Authorised official
- Name
- Mikiel Thomas
- Title
- Owner
- Phone
- (225) 475-0009
Registered specialties (2)
Driver
Primary
Community Health Worker
Registry record
- NPI
- 1003519273
- Entity type
- Organization
- NPI issued
- 24 Mar 2023
- Record last updated
- 24 Mar 2023
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.