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General NPI Number Information
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NPI Number | 1477484038
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Entity Type | Organization
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Legal Business Name | MIRACLE CARE OF CHARLOTTE LLC
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Dates
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Enumeration Date | 05/25/2026
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Last Update Date | 05/25/2026
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Provider Practice Location Address
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Address Line | 855 SOUTHWOOD OAKS LN APT L
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City | CHARLOTTE
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State | NC
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Zip | 28212-8409
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Country | US
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Telephone | 704-905-0527
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Fax |
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Provider Business Mailing Address
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Address Line | 301 S MCDOWELL ST STE 125-1510
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City | CHARLOTTE
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State | NC
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Zip | 28204-2623
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Country | US
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Telephone | 704-905-0527
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Fax |
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Authorized Official
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Title or Position | OWNER/ AGENCY DIRECTOR
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Name | LEMANUEL MILTON JENKINS II
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Credential |
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Telephone | 704-905-0527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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