Kellie'S Sitting Services
Organization Active NPI Exclusive Provider Organization · Boyce, LA
NPI 1245361971 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1245361971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- ADC 081610 (LA)
- Legal business name
- KELLIE'S SITTING SERVICES
- Practice address
- 107 Cleveland Rd
Boyce, LA 71409-9284 - Phone
- (318) 793-2929
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Glenda Washington
- Title
- Director
- Phone
- (318) 793-8453
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Kellie'S Sitting Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | ADC 081610 | LA | |
| Exclusive Provider Organization | 302F00000X | ADC 081610 | LA | Yes |
Addresses
Primary practice location
107 Cleveland Rd
Boyce, LA 71409-9284
Mailing address
107 Cleveland Rd
Boyce, LA 71409-9284
Phone (318) 793-2929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1612456 | Medicaid | LA |
Other names
- Kellie's Vocationa Supports
Other providers in Boyce, LA
- Anna Lita Dubois
- Tequitra Gray
- Jiffy Cab, LLC.
- Marcuz Johnson
- Robert Bruce Jordan
- Kellie'S Sitting Services, Inc
- Kellie'S Sitting Services, Inc.
- Kellie'S Sitting Services, Inc.
- Kellie'S Sitting Services, Inc.
- Kellie'S Sitting Services, Inc.
All providers in Boyce, LA · Exclusive Provider Organization in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.