Individual
JANICE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4423 EAGLEWOOD TRAIL DR, FRESNO, TX 77545-9599
(281) 978-1490
Mailing address
PO BOX 451042, HOUSTON, TX 77245-1042
(281) 978-1490
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
NA0060006415
TX
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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