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
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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