OrganizationActive
Miracle Farm, Inc.
NPI 1679091789 · Voluntary or Charitable Agency · Brenham, TX
Provider details
- NPI number
- 1679091789
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jay Hamilton, Executive Director(979) 836-0901
- License
- 68824 (TX)
Specialties & taxonomies
Agencies
Practice location
10802 Fm 2621
Brenham, TX 77833-0164
Phone: (979) 836-0901
Fax: (979) 277-0939
Approximate (ZIP-level) locationGet directions
Mailing address
10802 Fm 2621
Brenham, TX 77833-0164
Registry dates
- Enumerated
- 2017-09-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.