# K&J ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629488283
- **Authorized official:** MARY J WARD (ADMINISTRATOR)
- **Authorized official phone:** (706) 992-5564

## Contact information

- **Practice address:** 6924 BULLET BLVD APT 9, COLUMBUS, GA 31907-9636
- **Practice address phone:** (706) 992-5564
- **Mailing address:** PO BOX 3063, COLUMBUS, GA 31903-0063
- **Mailing address phone:** (706) 992-5564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | GA | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/05/2014