# KELLA HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528296654
- **Authorized official:** MR. MICHEL GONZALEZ (PRESIDENT)
- **Authorized official phone:** (786) 752-0235

## Contact information

- **Practice address:** 27153 SW 134TH CT, HOMESTEAD, FL 33032-7782
- **Practice address phone:** (786) 752-0235
- **Practice address fax:** (786) 206-3815
- **Mailing address:** 27153 SW 134TH CT, HOMESTEAD, FL 33032-7782
- **Mailing address phone:** (786) 752-0235
- **Mailing address fax:** (786) 206-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 691670896 | FL | Yes |
| 374700000X | Technician | EMT300255 | FL | — |

## Other

- **Enumeration date:** 06/26/2009
- **Last updated:** 06/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003174600 | — | FL |
| 05 | — | 691670896 | — | FL |