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Organization

MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHELLY KELLER (CEO)
(870) 761-6680
Entity
Organization

Contact information

Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 932-3600
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
03/06/2019
Last updated
03/06/2019
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