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Organization
NEW JEFFERSON PLACE, LLC
Active
Organization
NEW JEFFERSON PLACE, LLC
Active
Other names
Jefferson Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM TRAVIS (ADMINISTRATOR)
(502) 426-5600
Entity
Organization
Contact information
Practice address
1705 HERR LN, LOUISVILLE, KY 40222-6545
(502) 426-5600
(502) 429-3193
Mailing address
1705 HERR LN, LOUISVILLE, KY 40222-6545
(502) 426-5600
(502) 429-3193
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100644
KY
Other
Enumeration date
10/17/2005
Last updated
09/18/2014
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