Mr. Rayfield Wayne Jefferson SR. - Coldspring, TX

Mr. Rayfield Wayne Jefferson SR.

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Coldspring, Texas

NPI 1114165495

Rayfield Wayne Jefferson SR. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Coldspring, TX. Rayfield Wayne Jefferson SR. practices in Coldspring, TX. The NPI Number for Rayfield Wayne Jefferson SR. is 1114165495 and holds a License No. (Texas).

The current practice location address for Rayfield Wayne Jefferson SR. is 2330 Fm 222, Coldspring, TX and can be reached out via phone at 936-653-4113.

Location: 2330 Fm 222, Coldspring, TX, 77331-0142

NPI Number

1114165495

Provider Name

Rayfield Wayne Jefferson SR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

2330 Fm 222, Coldspring, TX, 77331-0142

Phone Number

936-653-4113

Fax Number

Provider Enumeration Date

01/26/2009

Last Update Date

03/09/2024

Address

2330 Fm 222

City

Coldspring

State

Texas

Zip

77331

Phone Number

936-653-4113

Fax Number

Address

2330 Fm 222

City

Coldspring

State

Texas

Zip

77331

Phone Number

936-653-4113

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320600000X

License No.

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Definition

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.

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