Provider Demographics
NPI:1710051156
Name:JK REALESTATE INVESTORS
Entity Type:Organization
Organization Name:JK REALESTATE INVESTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:IDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-889-8529
Mailing Address - Street 1:9718 LAKE RD
Mailing Address - Street 2:
Mailing Address - City:VAN LEAR
Mailing Address - State:KY
Mailing Address - Zip Code:41265-8456
Mailing Address - Country:US
Mailing Address - Phone:606-889-8529
Mailing Address - Fax:
Practice Address - Street 1:9718 LAKE RD
Practice Address - Street 2:
Practice Address - City:VAN LEAR
Practice Address - State:KY
Practice Address - Zip Code:41265-8456
Practice Address - Country:US
Practice Address - Phone:606-889-8529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========OtherHOME HEALTH CARE