Organization
KELLIES SITTING SRVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA ARENE WASHINGTON (DIRECTOR)
(318) 793-8453
Entity
Organization
Contact information
Practice address
123 CLEVELAND RD, BOYCE, LA 71409-9284
(318) 793-8453
(318) 793-5378
Mailing address
123 CLEVELAND RD, BOYCE, LA 71409-9284
(318) 793-8453
(318) 793-5378
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PCA10531
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435180
—
LA
Enumeration date
04/04/2007
Last updated
08/22/2020
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