Jefferson Operator LLC
NPI #1376614164 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1376614164
- Entity Type
- Organization
- Organization Name
- Jefferson Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Apr 13, 2020
Practice Location
- Address
- 283 W BROADWAY BLVD
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2302
- Phone
- (865) 475-9037
Authorized Official
- Name
- MR. STACEY PAUL ROGERS
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (502) 429-8062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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