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Nicole Jefferson
Adult Day Care Clinic/Center in Seguin, Texas
NPI 1174023063

Nicole Jefferson is an Adult Day Care Clinic/Center based in Seguin, TX and is specialized in Adult Day Care. Nicole Jefferson practices in Seguin, TX. The NPI Number for Nicole Jefferson is 1174023063 and holds a License No. (Texas).

The current practice location address for Nicole Jefferson is 529 Grayson Ln, Seguin, TX and can be reached out via phone at 254-289-4071 and via fax at 830-433-4219.

Location: 529 Grayson Ln, Seguin, TX, 78155-3084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174023063
Provider Name
Nicole Jefferson
Credential
Provider Entity Type
Individual
Gender
Female
Address
529 Grayson Ln, Seguin, TX, 78155-3084
Phone Number
254-289-4071
Fax Number
830-433-4219
Provider Enumeration Date
02/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
529 Grayson Ln
City
Seguin
State
Texas
Zip
78155-3084
Phone Number
254-289-4071
Fax Number
830-433-4219
person
Provider Business Mailing Address Details
Address
529 Grayson Ln
City
Seguin
State
Texas
Zip
78155-3084
Phone Number
254-289-4071
Fax Number
830-433-4219
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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