MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD NPI 1750849006

NPI Information

NPI: 1750849006
Provider Name: MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1910 RECTOR RD
PARAGOULD, AR
ZIP 72450
Phone: (870) 932-3600
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MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD is a rehabilitation clinic center in Paragould, AR. MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD NPI is 1750849006. The provider is registered as an organization entity type.

The provider's business location address is:

1910 RECTOR RD
PARAGOULD, AR
ZIP 72450-004
Phone: (870) 932-3600

The provider's authorized official is Shelly Keller .
The authorized official title is Ceo and has the following contact phone number (870) 761-6680.

The enumeration date for this NPI number is 3/6/2019 and was last updated on 3/6/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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