# JEFFERSON AND JEFFERSON LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861995367
- **Authorized official:** MS. REMILLA V. JEFFERSON (PRESIDENT)
- **Authorized official phone:** (704) 340-6584

## Contact information

- **Practice address:** 945 EAST 6 AVE, GASTONIA, NC 28054
- **Practice address phone:** (704) 340-6584
- **Mailing address:** 945 EAST 6 AVE, GASTONIA, NC 28054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 03/13/2018
