Miracle on 29th Street
Miracle on 29th Street is a Case Manager/Care Coordinator in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2018.
- Licensed in
- AZ
- In the registry since
- 2018
Practice location Address checks out
18210 N 29th StPhoenix, AZ 85032-1103
Phone: (480) 302-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence AL10509H (AZ) |
|---|
Record details
| NPI number | 1255835997 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Troy Berkley — Owner · (480) 302-1101 |
| Other names | Koala-D Meds |
| NPI enumerated | March 19, 2018 |
| Last updated in NPPES | September 12, 2025 |
| Mailing address | 18210 N 29th St, Phoenix, AZ 85032-1103 |
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