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 | 2024-09-12 |