# KELLA HOMES

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

## Provider details

- **NPI number:** 1588953384
- **Authorized official:** MR. MICHEL GONZALEZ (PRESSIDENT)
- **Authorized official phone:** (786) 752-0235

## Contact information

- **Practice address:** 19 OCEANA AVE, KEY LARGO, FL 33037-4706
- **Practice address phone:** (786) 752-0235
- **Practice address fax:** (786) 206-3815
- **Mailing address:** 19 OCEANA DR, KEY LARGO, FL 33037-4706
- **Mailing address phone:** (786) 752-0235
- **Mailing address fax:** (786) 206-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 003174600 | FL | Yes |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 04/01/2011