NPI:
1003431438
Provider Name:
KJ ADULT CARE ,LLC
Former Legal Business Name: KJ ADULT CARE, LLC
Classification:
Clinic/Center - 261QA0600X
Entity Type:
Organization
Specialization: Adult Day Care
Address:
1002 W SOLOMON ST
GRIFFIN, GA
ZIP 30223
Phone:
(678) 557-2613
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KJ ADULT CARE ,LLC is an adult day care clinic center in Griffin, GA. KJ ADULT CARE ,LLC NPI is 1003431438. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Kj Adult Care, Llc.
The provider's business location address is:
1002 W SOLOMON ST
GRIFFIN, GA
ZIP 30223-632
Phone: (678) 557-2613
Fax: (678) 572-4514
The provider's authorized official is Tracie Renee Chislom .
The authorized official title is Owner and has the following contact phone number (678) 557-2613.
The enumeration date for this NPI number is 6/11/2020 and was last updated on 6/11/2020.