Healthcare Provider Details

I. General information

NPI: 1740486000
Provider Name (Legal Business Name): KELLEY A.L.F. CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10410 SW 127TH AVE
MIAMI FL
33186-3516
US

IV. Provider business mailing address

10410 SW 127TH AVE
MIAMI FL
33186-3516
US

V. Phone/Fax

Practice location:
  • Phone: 786-303-6637
  • Fax:
Mailing address:
  • Phone: 786-303-6637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL10880
License Number StateFL

VIII. Authorized Official

Name: MARTA CASTELL
Title or Position: OWNER/ ADMINISTRATOR
Credential:
Phone: 305-385-7690