Organization
KIDS UNLIMITED LEARNING ACADEMY OF FAYETTEVILLE
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 KELLER MCD, CCC-SLP (CEO)
(870) 336-8100
Entity
Organization
Contact information
Practice address
1760 N WOODLAND AVE, FAYETTEVILLE, AR 72703-2549
(479) 443-4420
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
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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