Michelle'S Miracle Resource Foundation Inc

LBN: Michelle'S Miracle Resource Foundation Inc
Michelle'S Miracle Resource Foundation Inc is an health care organization with primary practice located at 4719 Forest Pkwy , Sacramento CA 95823-3139. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty. Michelle'S Miracle Resource Foundation Inc can be contacted via phone (916) 821-1620, or through Fuller, Temeka S via phone (916) 821-1620.

Contact Information

Primary practice address
4719 Forest Pkwy Sacramento CA 95823-3139
Phone: (916) 821-1620
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Temeka S
Phone: (916) 821-1620

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / School 1041S0200X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1336958248
LBN Legal business name Michelle'S Miracle Resource Foundation Inc
DBA Doing business as
Authorized official Fuller, Temeka S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2025
Last updated Jan 6th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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