| NPI | 1215666367 |
|---|---|
| Doing Business As | JEFFERSON MANOR |
| Entity Type | Organization |
| Authorized Contact | RICHARD W. SIEDEL CFO & Treasurer 617-796-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |