Miracle Kids Success Academy North
LBN: Miracle Kids Success Academy North
Miracle Kids Success Academy North is an health care organization with primary practice located at 806 Glendale St , Jonesboro AR 72401-4455. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty.
Miracle Kids Success Academy North can be contacted via phone (870) 333-2600, or through Keller, Shelly A via phone (870) 336-8100.
Contact Information
Primary practice address
806 Glendale St
Jonesboro AR 72401-4455
Phone: (870) 333-2600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
NPI number | 1255935680 |
---|---|
LBN Legal business name | Miracle Kids Success Academy North |
DBA Doing business as | |
Authorized official | Keller, Shelly A |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 25th, 2020 |
Last updated | Dec 18th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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