OrganizationActive
Miracles1st
NPI 1043630924 · Adult Care Home Facility · Columbia Heights, MN
Provider details
- NPI number
- 1043630924
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Patrice Wynne-Finley, Governing Body(753) 528-5431
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5128 4th St Ne
Columbia Heights, MN 55421-2874
Phone: (763) 528-5431
Approximate (ZIP-level) locationGet directions
Mailing address
5128 4th St Ne
Columbia Heights, MN 55421-2874
Registry dates
- Enumerated
- 2014-04-18
- Last updated
- 2014-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.