Organization
KELLIE'S SITTING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA WASHINGTON (DIRECTOR)
(318) 793-8453
Entity
Organization
Contact information
Practice address
123 CLEVELAND RD, BOYCE, LA 71409-9284
(318) 793-8453
Mailing address
123 CLEVELAND RD, BOYCE, LA 71409-9284
(318) 793-8453
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PCA10531
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1171476
—
LA
05
—
1429236
—
LA
05
—
1435180
—
LA
Enumeration date
03/07/2007
Last updated
08/22/2020
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