Organization
J & K ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETLIE ELIE (OWNER/ADMINISTRATOR)
(321) 704-0053
Entity
Organization
Contact information
Practice address
133 LEHIGH AVE SE, PALM BAY, FL 32909-3722
(321) 704-0053
Mailing address
133 LEHIGH AVE SE, PALM BAY, FL 32909-3722
(321) 704-0053
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11762
FL
Other
Enumeration date
02/15/2011
Last updated
02/06/2025
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