NICOLE JEFFERSON

SEGUIN, TX
NPI1174023063
Professional NameNICOLE JEFFERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320700000X Residential Treatment Facility, Physical Disabilities
Additional Taxonomies3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
311ZA0620X Custodial Care Facility, Adult Care Home
320800000X Community Based Residential Treatment Facility, Mental Illness
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2018-02-16
Last Update Date2023-08-13
Business Address
NICOLE JEFFERSON
529 GRAYSON LN
SEGUIN, TX 78155-3084
Phone number: 254-289-4071
Mailing Address
NICOLE JEFFERSON
529 GRAYSON LN
SEGUIN, TX 78155-3084
Phone number: 254-289-4071