Organization
J & K ADULT CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY STANLEY (LPN)
(914) 309-8923
Entity
Organization
Contact information
Practice address
233 S 5TH AVE, MOUNT VERNON, NY 10550-3829
(914) 309-8923
Mailing address
233 S 5TH AVE, MOUNT VERNON, NY 10550-3829
(914) 309-8923
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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