Jefferson And Jefferson LLC.
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in Gastonia, NC. Organization (NPI-2).
NPI number1861995367
StatusActive
Last updated in NPPESMar 13, 2018
Details
- NPI
- 1861995367
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson And Jefferson LLC.
- Organization subpart
- No
- Enumeration date
- Mar 12, 2018
- Last updated
- Mar 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | Yes |
Practice location
945 East 6 AveGastonia, NC 28054
Phone 704-340-6584
Mailing address
945 East 6 AveGastonia, NC 28054
Authorized official
Remilla V. Jefferson
President
7043406584
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