Individual provider · Type 1 NPI
Rayfield Wayne Jefferson Sr.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Coldspring, TX
Practice location
2330 FM 222
Coldspring, TX 77331
Mailing address
PO Box 142
Coldspring, TX 77331-0142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1114165495
Rayfield Wayne Jefferson Sr.'s National Provider Identifier is 1114165495, issued on Jan 26, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Coldspring, TX. The record was last updated on Jan 26, 2009.