Miracle Kids Success Academy Of Paragould
Clinic/Center, Rehabilitation in Paragould, AR. Organization (NPI-2).
NPI number1750849006
StatusActive
Last updated in NPPESMar 6, 2019
Details
- NPI
- 1750849006
- Entity type
- Organization (NPI-2)
- Legal business name
- Miracle Kids Success Academy Of Paragould
- Organization subpart
- No
- Enumeration date
- Mar 6, 2019
- Last updated
- Mar 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
1910 Rector RdParagould, AR 72450-2004
Phone 870-932-3600
Mailing address
1900 Stillwater DrJonesboro, AR 72404-9119
Phone 870-932-3600 · Fax 870-932-3611
Authorized official
Shelly Keller
Ceo
8707616680
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