Kellis Home LLC
NPI #1215711171 in Greenfield, Ohio
Provider Information
- NPI Number
- 1215711171
- Entity Type
- Organization
- Organization Name
- Kellis Home LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 22, 2023
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 404 SOUTH ST
- City
- Greenfield
- State
- Ohio
- ZIP Code
- 45123-1432
- Phone
- (937) 403-4051
Authorized Official
- Name
- KARLA L KELLIS
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (937) 403-4051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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