Organization
KELLEY A.L.F. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTA M CASTELL (ADMINISTRATOR)
(786) 303-6637
Entity
Organization
Contact information
Practice address
10410 SW 127TH AVE, MIAMI, FL 33186-3516
(305) 412-0606
Mailing address
10410 SW 127TH AVE, MIAMI, FL 33186-3516
(305) 412-0606
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10880
FL
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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