Keellen, Llc

LBN: Keellen, Llc
Keellen, Llc is an health care organization with primary practice located at 313 Park Ave , Creedmoor NC 27522-0313. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Keellen, Llc can be contacted via phone (919) 529-1965, or through Johnson, Mary Ellen via phone (919) 529-1965.

Contact Information

Primary practice address
313 Park Ave Creedmoor NC 27522-0313
Phone: (919) 529-1965
Fax: (919) 764-9731
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Mary Ellen
Phone: (919) 529-1965

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-030-028 North Carolina

Profile Details

NPI number 1740365220
LBN Legal business name Keellen, Llc
DBA Doing business as
Authorized official Johnson, Mary Ellen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 2nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740365220 NPPES
North Carolina MEDICAID 6603254

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