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NICOLE JEFFERSON
Physical Disabilities Residential Treatment Facility
NPI: 1174023063Individual
Specialties, Licenses & Credentials
Assisted Living Facility — Assisted Living, Mental Illness
Code: 3104A0625X
Community Based Residential Treatment Facility, Mental Illness
Code: 320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Residential Treatment Facility, Physical Disabilities
Code: 320700000X
Contact & Hours
- Address
- 529 GRAYSON LN
SEGUIN, TX 78155 - Phone
- (254) 289-4071
Quick Facts
- NPI
- 1174023063
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 6
- Locations
- 1
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