Miracle Kids Success Academy, Inc.
Rehabilitation Clinic/Center in Jonesboro, AR(View on Map)
Legal Business Name
Miracle Kids Success Academy, Inc.
NPI Number
1568799658
NPI Type
Organization
Enumeration Date
11/10/2009
Specialties
(Taxonomies)Name
Code
261QR0400X
261QM0855X
261QD1600X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
1900 STILLWATER DR
1900 STILLWATER DR
City
Jonesboro
Jonesboro
State
AR
AR
Postal Code
72404-9119
72404-9119
Country
US
US
Telephone Number
(870) 932-3600
(870) 932-3600
Authorized Official
Name
Shelly Keller
Title or Position
OWNER/PRESIDENT
Telephone Number
(870) 932-3600
Identifiers
Identifier
179889724
Identifier State
AR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/30/2020
Provider Address
Other Rehabilitation Clinics/Centers in Jonesboro, Arkansas:
Thera-play Pediatric Therapy Associates
Jonesboro, ARSpecialty: Rehabilitation Clinic/Center (Primary)
Miracle Kids Success Academy North
Jonesboro, ARSpecialties: Developmental Disabilities Clinic/Center (Primary)Rehabilitation Clinic/Center