| NPI | 1740915024 |
|---|---|
| Doing Business As | JRA ADULT FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALEX APOLLON Owner, Administrator 386-931-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |