Nicole Jefferson
Nicole Jefferson is an Assisted Living Facility (Mental Illness) in Seguin, Texas. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 6
Practice location Address checks out
529 Grayson LnSeguin, TX 78155-3084
Phone: (254) 289-4071
Fax: (830) 433-4219
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X |
|---|---|
| Assisted Living Facility (Mental Illness) | Taxonomy 3104A0625X |
| Adult Care Home Facility | Taxonomy 311ZA0620X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X |
Record details
| NPI number | 1174023063 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 16, 2018 |
| Last updated in NPPES | August 13, 2023 |
| Certification date | August 13, 2023 |
| Mailing address | 529 Grayson Ln, Seguin, TX 78155-3084 |