| NPI | 1306827449 |
|---|---|
| Doing Business As | JEFFERSON MANOR NURSING & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | TEDDY RAY PRICE Managing Member 318-628-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 751) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2022-05-04 |