| NPI | 1154747327 |
|---|---|
| Doing Business As | JEFFCARE WEST JEFFERSON |
| Entity Type | Organization |
| Authorized Contact | ROSANNA DICHIRO DERBES Executive Director 504-838-5215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2022-02-15 |