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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.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X |
| NPI Number | 1639791411 |
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| LBN Legal business name | MIRACLE KIDS SUCCESS ACADEMY, INC. | ||||
| Authorized official | SHELLY TUCKER - (VP OF OPERATIONS) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/14/2020 | ||||
| Last updated | 11/30/2020 - About 6 years ago | ||||
| Identifiers |
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MIRACLE KIDS SUCCESS ACADEMY, INC.