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Organization

KELLIFY GROUP RESIDENTIAL HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANELL KELLY CNA, RMA (CEO)
(770) 374-2523
Entity
Organization

Contact information

Practice address
126 CARTER CIR, WARNER ROBINS, GA 31093-2910
(678) 779-1388
(478) 203-8653
Mailing address
126 CARTER CIR, WARNER ROBINS, GA 31093-2910
(678) 779-1388
(478) 203-8653

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/04/2026
Last updated
03/04/2026
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