Organization
KELLIE'S SITTING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA WASHINGTON (EXECUTIVE 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
302F00000X
Exclusive Provider Organization
Primary
ADC10580
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1612456
—
LA
Enumeration date
04/28/2011
Last updated
05/25/2011
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