Organization
JAK PROPERTIES INC
Active
Other names
A1 Adult Day Habilitation Center, A1 Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SUE PROFFER (PRESIDENT/CEO)
(573) 358-7755
Entity
Organization
Contact information
Practice address
400 M C BLACK RD, BONNE TERRE, MO 63628-3649
(573) 358-7755
(573) 358-7788
Mailing address
400 M C BLACK RD, BONNE TERRE, MO 63628-3649
(573) 358-7755
(573) 358-7788
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
04/12/2012
Last updated
12/23/2022
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