Organization · Type 2 NPI

Kellis Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Greenfield, OH

NPI number 1366132839 Active

Practice location

404 South St
Greenfield, OH 45123-1432

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Private Vehicle 347C00000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1366132839

Kellis Home's National Provider Identifier is 1366132839, issued on May 9, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Greenfield, OH. The record was last updated on May 9, 2023.