Organization · Type 2 NPI
Jefferson Residential Services, Inc.
Assisted Living Facility · Roberts, ID
NPI number
1780901967
Active
Practice location
2859 E 650 N
Roberts, ID 83444-5095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | RC-960 (ID) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1780901967
Jefferson Residential Services, Inc.'s National Provider Identifier is 1780901967, issued on Apr 27, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Roberts, ID. The record was last updated on Apr 27, 2010.