Kelly, Sophia

Kelly, Sophia is an sole proprietor health care provider with primary practice located at 587 Central Ave # 304 , Newark NJ 07107-1019. She recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Adult Companion, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Kelly, Sophia can be contacted via phone (862) 367-2461.

Contact Information

Primary practice address
587 Central Ave # 304 Newark NJ 07107-1019
Phone: (862) 367-2461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Nursing Service Related Providers / Adult Companion 372600000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1023848132
LBN Legal business name Kelly, Sophia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2024
Last updated Aug 5th, 2024 - about 2 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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