NPI | 1245361971 |
---|---|
Doing Business As | KELLIE'S VOCATIONA SUPPORTS |
Entity Type | Organization |
Authorized Contact | GLENDA WASHINGTON Director 318-793-8453 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA ADC 081610) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA ADC 081610) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2011-01-04 |