NPI | 1912264508 |
---|---|
Former Legal Business Name | J & K ASSISTED LIVING II |
Entity Type | Organization |
Authorized Contact | KETLIE ELIE President 321-345-4123 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11762) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2024-12-10 |