| NPI | 1831188515 |
|---|---|
| Doing Business As | JEFFERSON PLACE |
| Entity Type | Organization |
| Authorized Contact | TIM TRAVIS Administrator 502-426-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100644) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2014-09-18 |