Organization
JEFFERSON HOMES SLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELL JEFFERSON ADMINISTRATOR (MANAGING MEMBER)
(818) 963-0079
Entity
Organization
Contact information
Practice address
6201 W 87TH ST # 2681, LOS ANGELES, CA 90045-3901
(818) 963-0079
Mailing address
6201 W 87TH ST # 2681, LOS ANGELES, CA 90045-3901
(818) 963-0079
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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