# MIRACLE KIDS SUCCESS ACADEMY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356671366
- **Authorized official:** MARY-KATHERINE HARDIN MCD, CCC-SLP (OWNER/SECRETARY)
- **Authorized official phone:** (870) 793-3200

## Contact information

- **Practice address:** 200 GENERAL ST, BATESVILLE, AR 72501-9407
- **Practice address phone:** (870) 793-3200
- **Practice address fax:** (870) 793-3208
- **Mailing address:** 200 GENERAL ST, BATESVILLE, AR 72501-9407
- **Mailing address phone:** (870) 793-3200
- **Mailing address fax:** (870) 793-3208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 01/14/2010