# KELLY HOUSE OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelly House 2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730515933
- **Authorized official:** MICHAEL D TRYON (CFO)
- **Authorized official phone:** (785) 272-1535

## Contact information

- **Practice address:** 1800 SW FAIRMONT RD, TOPEKA, KS 66604-3699
- **Practice address phone:** (785) 271-9594
- **Practice address fax:** (785) 271-6638
- **Mailing address:** 3715 SW 29TH ST STE 200, TOPEKA, KS 66614-2164
- **Mailing address phone:** (785) 272-1535
- **Mailing address fax:** (785) 272-1480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N089034 | KS | Yes |

## Other

- **Enumeration date:** 09/19/2013
- **Last updated:** 09/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100274660A | — | KS |