Organization
FRED JEFFERSON MEMORIAL HOME FOR BOYS
Active
Other names
Fred Jefferson Memorial Home #2
Organization subpart
No
Provider details
NPI number
Authorized official
NIQUELLE LEWIS (CTO/PROGRAM DIRECTOR)
(310) 763-1660
Entity
Organization
Contact information
Practice address
1448 E 142ND ST, COMPTON, CA 90222-3702
(310) 604-0595
(310) 604-1357
Mailing address
1448 E 142ND ST, COMPTON, CA 90222-3702
(310) 766-1660
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
03/03/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up