Organization
JBKT ENTERPRISES, LLC
Active
Other names
The Rachel House
Organization subpart
No
Provider details
NPI number
Authorized official
JON PENUEL (OWNER)
(229) 549-6100
Entity
Organization
Contact information
Practice address
204 W COLQUITT ST, SPARKS, GA 31647-7602
(229) 549-6100
Mailing address
PO BOX 155, SPARKS, GA 31647-0155
(229) 549-6100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH009212
GA
Other
Enumeration date
07/25/2017
Last updated
06/16/2018
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