Organization
JEFFERSON COUNTY ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SCHWANNA K. JOHNSON RN (DIRECTOR)
(409) 225-6475
Entity
Organization
Contact information
Practice address
603 5TH ST, PORT ARTHUR, TX 77640-6540
(409) 549-6260
Mailing address
236 DRYDEN PL, PORT ARTHUR, TX 77642-8315
(409) 549-6260
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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