NPI | 1124029871 |
---|---|
Doing Business As | JEFFERSON NURSING CENTER |
Entity Type | Organization |
Authorized Contact | JOSEPH D. MITCHELL President 850-386-2522 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2005-08-03 |
Last Update Date | 2008-01-08 |