Organization
KELLY'S LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESSA DOUGLAS (OWNER)
(404) 228-7985
Entity
Organization
Contact information
Practice address
3895 TOLLIVER HILLS DR, ELLENWOOD, GA 30294-1209
(404) 228-7985
(404) 963-7812
Mailing address
1616 COLUMBIA DR, DECATUR, GA 30032-4613
(404) 228-7985
(404) 963-7812
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
031012958
GA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
031012958
GA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us