| NPI | 1891328480 |
|---|---|
| Doing Business As | JEFFERSON COMPREHENSIVE HEALTH CENTER, INC. MEDICAL/DENTAL MOBILE UNIT |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ELLIS-STAMPLEY CEO 601-786-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |