| NPI | 1063026102 |
|---|---|
| Former Legal Business Name | KESJAN ASSISTED LIVING CARE |
| Entity Type | Organization |
| Authorized Contact | KESJAN JRELL HARRIS CEO 318-953-6131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-10 |