Organization
KELLYS PRIVATE HOME CARE
Active
Organization
KELLYS PRIVATE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY GREENLEAF CNA (CNA/OWNER)
(315) 427-3753
Entity
Organization
Contact information
Practice address
93 CHAPEL RD., HANNIBAL, NY 13074
(315) 427-3753
Mailing address
93 CHAPEL RD., HANNIBAL, NY 13074
(315) 427-3753
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
341974760503
NY
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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