MIRACLE KIDS SUCCESS ACADEMY OF TRUMANN NPI 1639773054

NPI Information

MIRACLE KIDS SUCCESS ACADEMY OF TRUMANN is a developmental disabilities clinic center in Trumann, AR. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MIRACLE KIDS SUCCESS ACADEMY OF TRUMANN NPI is 1639773054. The provider is registered as an organization entity type.

The provider's business location address is:

1005 BALCOM LN
TRUMANN, AR
ZIP 72472-502
Phone: (870) 418-1000

The provider's authorized official is Shelly A Keller .
The authorized official title is Ceo and has the following contact phone number (870) 336-8100.

The enumeration date for this NPI number is 11/25/2020 and was last updated on 12/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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