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General NPI Number Information
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NPI Number | 1255752770
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Entity Type | Organization
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Legal Business Name | JKR ELDERCARE ENTERPRISES
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 2245 GATEWAY ACCESS PT SUITE 101
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City | RALEIGH
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State | NC
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Zip | 27607-3077
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Country | US
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Telephone | 919-746-7050
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Fax | 919-788-1440
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Provider Business Mailing Address
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Address Line | 104 ALDEN VILLAGE CT
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City | CARY
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State | NC
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Zip | 27519-9793
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Country | US
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Telephone | 919-746-7050
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Fax | 919-788-1440
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | MARCIA K JARRELL
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Credential |
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Telephone | 919-746-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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