Healthcare Provider Details

I. General information

NPI: 1578626891
Provider Name (Legal Business Name): KELLIE'S SITTING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 CLEVELAND RD
BOYCE LA
71409-9284
US

IV. Provider business mailing address

123 CLEVELAND RD
BOYCE LA
71409-9284
US

V. Phone/Fax

Practice location:
  • Phone: 318-793-8453
  • Fax: 318-793-5378
Mailing address:
  • Phone: 318-793-8453
  • Fax: 318-793-5378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberSIL10530
License Number StateLA

VIII. Authorized Official

Name: MRS. GLENDA ARLENE WASHINGTON
Title or Position: DIRECTOR
Credential:
Phone: 318-793-8453