Individual
MONICA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 HILLCREST DR, STOCKBRIDGE, GA 30281-1762
(770) 731-6760
Mailing address
241 HILLCREST DR, STOCKBRIDGE, GA 30281-1762
(770) 731-6760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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