Organization
KELLIE'S SITTING SERVICES, INC.
Active
Other names
Kellie's Vocational Supports
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA WASHINGTON (EXECUTIVE DIRECTOR)
(318) 793-8453
Entity
Organization
Contact information
Practice address
107 CLEVELAND RD, BOYCE, LA 71409-9284
(318) 792-3939
(318) 793-2931
Mailing address
107 CLEVELAND RD, BOYCE, LA 71409-9284
(318) 792-3939
(318) 793-2931
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC 081610
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1612459
—
LA
Enumeration date
01/05/2011
Last updated
01/05/2011
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