Dequita Kelly
NPI #1972983856 in Balch Springs, Texas
Provider Information
- NPI Number
- 1972983856
- Entity Type
- Individual
- Name
- Dequita Kelly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 4, 2015
- Last Updated
- Jun 4, 2015
Practice Location
- Address
- 2108 RODNEY LN
- City
- Balch Springs
- State
- Texas
- ZIP Code
- 75180-1369
- Phone
- (214) 290-4650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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