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Organization
JKE PROPERTIES LLC
Active
Organization
JKE PROPERTIES LLC
Active
Other names
Mary's Haven Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DOUGLAS POWELL COTA (OWNER)
(229) 392-9387
Entity
Organization
Contact information
Practice address
310 S HUTCHINSON AVE, ADEL, GA 31620-3241
(229) 392-9387
Mailing address
310 S HUTCHINSON AVE, ADEL, GA 31620-3241
(229) 392-9387
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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