Organization Name: | KELLA HOMES |
NPI Number: | 1588953384 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHEL GONZALEZ (PRESSIDENT) |
Mailing Address: | 19 Oceana Ave Key Largo |
State: | FL US |
Postal Code: | 330374706 |
Phone Number: | 7867520235 |
Fax Number: | 7862063815 |
NPI Enumeration Date: | 04/01/2011 |
NPI Last Update Date: | 04/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385HR2060X |
License Number: | 003174600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Taxonomy Definition: | A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |