| NPI | 1598093239 |
|---|---|
| Doing Business As | JEFFERSON LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN FORD President 903-247-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2025-03-19 |