Jefferson I Enterprises, LLC

NPI #1598910291 in Jefferson, Texas

Provider Information

NPI Number
1598910291
Entity Type
Organization
Organization Name
Jefferson I Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 21, 2008
Last Updated
Feb 25, 2015

Practice Location

Address
1307 MARTIN LUTHER KING DR
State
Texas
ZIP Code
75657-1009
Phone
(903) 665-9351

Authorized Official

Name
GARY BLAKE
Title
MANAGING MEMBER
Phone
(817) 348-8841

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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