Organization · Type 2 NPI
Kettly House LLC
Community Health Registered Nurse · Sunrise, FL
NPI number
1457231003
Active
Practice location
2191 NW 74th Ave
Sunrise, FL 33313-3855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Community Health Registered Nurse: Definition to come...
About NPI 1457231003
Kettly House LLC's National Provider Identifier is 1457231003, issued on Sep 4, 2025. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Sunrise, FL. The record was last updated on Sep 4, 2025.