| 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 |