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General NPI Number Information
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NPI Number | 1578626891
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Entity Type | Organization
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Legal Business Name | KELLIE'S SITTING SERVICES, INC.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 123 CLEVELAND RD
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City | BOYCE
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State | LA
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Zip | 71409-9284
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Country | US
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Telephone | 318-793-8453
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Fax | 318-793-5378
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Provider Business Mailing Address
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Address Line | 123 CLEVELAND RD
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City | BOYCE
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State | LA
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Zip | 71409-9284
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Country | US
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Telephone | 318-793-8453
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Fax | 318-793-5378
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. GLENDA ARLENE WASHINGTON
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Credential |
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Telephone | 318-793-8453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | SIL10530
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License Number State | LA
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