Kellis Home is a Private Vehicle based in Greenfield, OH. Kellis Home practices in Greenfield, OH. The NPI Number for Kellis Home is 1366132839 and holds a License No. (Ohio).
The current practice location address for Kellis Home is 404 South St, Greenfield, OH and can be reached out via phone at 937-403-4051.
Location: 404 South St, Greenfield, OH, 45123-1432
Provider Profile Details
NPI Number
1366132839
Provider Name
Kellis Home
Credential
Provider Entity Type
Organization
Address
404 South St, Greenfield, OH, 45123-1432
Phone Number
937-403-4051
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
404 South St
City
State
Zip
45123-1432
Phone Number
937-403-4051
Fax Number
Provider Business Mailing Address Details
Address
404 South St
City
State
Zip
45123-1432
Phone Number
937-403-4051
Fax Number
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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