| Miracle Place Inc | |
|
117 N Washington St Bastrop LA 71220-3842 | |
| (318) 556-3378 | |
| Not Available |
| Full Name | Miracle Place Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 N Washington St, Bastrop, Louisiana |
| Authorized Official Name and Position | Cynthia Taylor (ADMINISTRATOR) |
| Authorized Official Contact | 3185099376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Place Inc 117 N Washington St Bastrop LA 71220-3842 | Miracle Place Inc 117 N Washington St Bastrop LA 71220-3842 Ph: (318) 556-3378 |
| NPI Number | 1487028163 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487028163 | NPI | - | NPPES |
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