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Organization
MIRACLE KIDS SUCCESS ACADEMY CENTRAL
Active
Organization
MIRACLE KIDS SUCCESS ACADEMY CENTRAL
Active
Parent organization
MIRACLE KIDS SUCCESS ACADEMY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIRACLE KIDS SUCCESS ACADEMY, INC.
Authorized official
SHELLY A KELLER MCD, CCC-SLP (CEO)
(870) 761-6680
Entity
Organization
Contact information
Practice address
1607 STONE ST, JONESBORO, AR 72401-5332
(870) 336-4100
Mailing address
3127 SOUTHWEST DR STE A, JONESBORO, AR 72404-8404
(870) 336-8100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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