Organization
KELLY & SCOTT'S CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BAUMGARDNER (VICE PRESIDENT)
(559) 359-4481
Entity
Organization
Contact information
Practice address
2212 5TH DR, DELANO, CA 93215-4239
(559) 783-1769
(559) 791-1601
Mailing address
PO BOX 1957, PORTERVILLE, CA 93258-1957
(559) 783-1769
(559) 791-1601
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
120000479
CA
313M00000X
Nursing Facility/Intermediate Care Facility
120000624
CA
313M00000X
Nursing Facility/Intermediate Care Facility
120000673
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
12/10/2023
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