KIDS UNLIMITED LEARNING ACADEMY OF CABOT; NPI #1699114132

Contact Information

KIDS UNLIMITED LEARNING ACADEMY OF CABOT

KIDS UNLIMITED LEARNING ACADEMY OF CABOT
3148 HWY 367 SOUTH
CABOT, AR 72023

Phone: 501-841-3500
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for KIDS UNLIMITED LEARNING ACADEMY OF CABOT

NPI Number 1699114132

LBN Legal business name KIDS UNLIMITED LEARNING ACADEMY OF CABOT

Authorized official SHELLY KELLER - (CEO/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/18/2013

Last updated 01/21/2021 - About 5 years ago

Identifiers

AR	License #	28812
AR	Medicaid	198156724

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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