Organization Name: | WALKING MIRACLES INC |
NPI Number: | 1467867432 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRETT A WILSON (FOUNDER) |
Mailing Address: | 116 Ridgeview Dr Scott Depot |
State: | WV US |
Postal Code: | 255609638 |
Phone Number: | 3045509599 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2014 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |