Organization
JEFFERSON RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD GRAVES QMRP (ASSISTANT DIRECTOR)
(208) 228-6045
Entity
Organization
Contact information
Practice address
2859 E 650 N, ROBERTS, ID 83444-5095
(208) 228-6045
Mailing address
2859 E 650 N, ROBERTS, ID 83444-5095
(208) 228-6234
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC-960
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8082790000
—
ID
Enumeration date
04/27/2010
Last updated
04/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us