Organization · Type 2 NPI

Jefferson Group Home

Intellectual Disabilities Intermediate Care Facility · Alexandria, LA

NPI number 1821130717 Active

Practice location

1109 Presidents Drive
Alexandria, LA 71303

Call (318) 473-2505 Map

Fax (318) 473-2506

Mailing address

PO Box 7917
Alexandria, LA 71306-0917

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X946 (LA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1821130717

Jefferson Group Home's National Provider Identifier is 1821130717, issued on Feb 14, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Alexandria, LA. The record was last updated on Nov 7, 2009.