Kellis Home
NPI #1366132839 in Greenfield, Ohio
Provider Information
- NPI Number
- 1366132839
- Entity Type
- Organization
- Organization Name
- Kellis Home
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 9, 2023
- Last Updated
- May 9, 2023
Practice Location
- Address
- 404 SOUTH ST
- City
- Greenfield
- State
- Ohio
- ZIP Code
- 45123-1432
- Phone
- (937) 403-4051
Authorized Official
- Name
- MS. KARLA LEIA KELLIS
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (937) 403-4051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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