| NPI | 1023275096 |
|---|---|
| Doing Business As | JEFFERSON LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN D. FORD President 903-247-0484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2025-03-19 |