| NPI | 1003431438 |
|---|---|
| Former Legal Business Name | KJ ADULT CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | TRACIE RENEE CHISLOM Owner 678-557-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |