# KELLY, EMMA

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

## Provider details

- **NPI number:** 1598199853
- **Authorized official:** MS. EMMA LEE KELLY (OWNER)
- **Authorized official phone:** (813) 571-2235

## Contact information

- **Practice address:** 509 CALHOUN AVE, SEFFNER, FL 33584-3614
- **Practice address phone:** (813) 571-2235
- **Practice address fax:** (813) 571-2235
- **Mailing address:** 509 CALHOUN AVE, SEFFNER, FL 33584-3614
- **Mailing address phone:** (813) 571-2235
- **Mailing address fax:** (813) 571-2235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6905766 | FL | Yes |

## Other

- **Enumeration date:** 08/22/2013
- **Last updated:** 08/22/2013