Kelly, Dequita

Kelly, Dequita is an sole proprietor health care provider with primary practice located at 2108 Rodney Ln , Balch Springs TX 75180-1369. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Kelly, Dequita can be contacted via phone (214) 290-4650.

Contact Information

Primary practice address
2108 Rodney Ln Balch Springs TX 75180-1369
Phone: (214) 290-4650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1972983856
LBN Legal business name Kelly, Dequita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2015
Last updated Jun 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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