Provider Demographics
NPI:1679301105
Name:JLN HOMES LLC
Entity type:Organization
Organization Name:JLN HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOTSWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-781-2447
Mailing Address - Street 1:92 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:TOWN CREEK
Mailing Address - State:AL
Mailing Address - Zip Code:35672-3945
Mailing Address - Country:US
Mailing Address - Phone:256-345-8018
Mailing Address - Fax:256-429-3326
Practice Address - Street 1:1714 BROOKLINE AVE SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-2606
Practice Address - Country:US
Practice Address - Phone:256-345-8018
Practice Address - Fax:256-429-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care