Healthcare Provider Details

I. General information

NPI: 1013871151
Provider Name (Legal Business Name): MIRACLES ON THE MOVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 PULASKI HWY (WHITE HOUSE)
BEAR DE
19701-2235
US

IV. Provider business mailing address

734 PULASKI HWY
BEAR DE
19701-5201
US

V. Phone/Fax

Practice location:
  • Phone: 302-553-1174
  • Fax:
Mailing address:
  • Phone: 302-553-1174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA BROWN
Title or Position: FOUNDER
Credential:
Phone: 302-553-1174