| NPI | 1457995821 |
|---|---|
| Doing Business As | JEFFERSON HOUSE MEMORY CARE COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | EMMETT AARON KOELSCH President 360-867-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |