Organization
JEFFERSON HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELL JEFFERSON (MANAGING MEMBER)
(818) 963-0079
Entity
Organization
Contact information
Practice address
2136 W 82ND ST, LOS ANGELES, CA 90047-2620
(818) 963-0079
Mailing address
6201 W 87TH ST # 2681, WESTCHESTER, CA 90045-3901
(310) 649-3919
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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