Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1164887642 |
| LBN Legal business name | KJAL ENTERPRISE, INC. |
| Authorized official | JEFFERSON LAWRENCE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/28/2015 |
| Last updated | 07/20/2018 - About 8 years ago |
| Identifiers | n/a |
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