| NPI | 1861172272 |
|---|---|
| Former Name | JERONDA KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-06-16 |