Individual ProviderCarleushia KellyRegistered NurseNursing Service ProvidersPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986(972) 702-0300PECOS EnrollmentBased on the most recent information from CMS, provider Carleushia Kelly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861091050Provider TypeIndividualFull NameKelly, CarleushiaCredentialBSN,RNGenderFemaleSole ProprietorNoEnumeration Date10/20/2020Last Updated10/20/2020Contact InformationPractice LocationPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986Phone(972) 702-0300FaxUnlisted FaxMailing LocationMailing Address6601 Grissom Rd Lot 45, Denton, TX 76208-2446PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense989408Texas