Organization
KELLIE'S SITTING SERVICES
Active
Organization
KELLIE'S SITTING SERVICES
Active
Other names
Kellie's Vocationa Supports
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA WASHINGTON (DIRECTOR)
(318) 793-8453
Entity
Organization
Contact information
Practice address
107 CLEVELAND RD, BOYCE, LA 71409-9284
(318) 793-2929
Mailing address
107 CLEVELAND RD, BOYCE, LA 71409-9284
(318) 793-2929
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
ADC 081610
LA
302F00000X
Exclusive Provider Organization
Primary
ADC 081610
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1612456
—
LA
Enumeration date
03/07/2007
Last updated
01/04/2011
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