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NPI Code Detail

MEDICARE: KELLIE'S SITTING SERVICES, INC.

MEDICARE: KELLIE'S SITTING SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302F00000XExclusive Provider OrganizationRC10532LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770614406
Entity Type Code : Organization
Provider Name (Legal Business Name) : KELLIE'S SITTING SERVICES, INC.
Provider Business Mailing Address
First Line : 123 CLEVELAND RD
Second Line :
City : BOYCE
State : LA
Zip : 71409-9284
Country : US
Telephone Number : 318-793-8453
Fax Number :
Provider Business Practice Location Address
First Line : 123 CLEVELAND RD
Second Line :
City : BOYCE
State : LA
Zip : 71409-9284
Country : US
Telephone Number : 318-793-8453
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MRS. GLENDA WASHINGTON
Credential :
Telephone Number : 318-793-8453
Provider Enumeration Date : 03/07/2007
Last Update Date : 08/22/2020

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1881716553 — KELLIES SITTING SERVICES, INC.
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71409-9284
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Practice Fax: 318-793-5378

Directions to “KELLIE'S SITTING SERVICES, INC. ” Practice Location

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