Organization
JEFFERSON AND JEFFERSON LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REMILLA V. JEFFERSON (PRESIDENT)
(704) 340-6584
Entity
Organization
Contact information
Practice address
945 EAST 6 AVE, GASTONIA, NC 28054
(704) 340-6584
Mailing address
945 EAST 6 AVE, GASTONIA, NC 28054
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/13/2018
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