Organization
K&J ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J WARD (ADMINISTRATOR)
(706) 992-5564
Entity
Organization
Contact information
Practice address
6924 BULLET BLVD APT 9, COLUMBUS, GA 31907-9636
(706) 992-5564
Mailing address
PO BOX 3063, COLUMBUS, GA 31903-0063
(706) 992-5564
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292371167A
—
GA
05
—
292371167B
—
GA
05
—
292371167C
—
GA
Enumeration date
05/05/2014
Last updated
05/05/2014
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