Organization
NEW JEFFERSON PLACE, LLC
Active
Other names
Jefferson Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM TRAVIS (ADMINISTRATOR)
(502) 426-5600
Entity
Organization
Contact information
Practice address
1705 HERR LN, LOUISVILLE, KY 40222-6545
(502) 426-5600
(502) 429-3193
Mailing address
1705 HERR LN, LOUISVILLE, KY 40222-6545
(502) 426-5600
(502) 429-3193
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100644
KY
Other
Enumeration date
10/17/2005
Last updated
09/18/2014
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