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Jefferson Residential Services, Inc.
Assisted Living Facility in Roberts, Idaho
NPI 1780901967

Jefferson Residential Services, Inc. is an Assisted Living Facility based in Roberts, ID. Jefferson Residential Services, Inc. practices in Roberts, ID. The NPI Number for Jefferson Residential Services, Inc. is 1780901967 and holds a License No. RC-960 (Idaho).

The current practice location address for Jefferson Residential Services, Inc. is 2859 E 650 N, Roberts, ID and can be reached out via phone at 208-228-6045.

Location: 2859 E 650 N, Roberts, ID, 83444-5095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780901967
Provider Name
Jefferson Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
2859 E 650 N, Roberts, ID, 83444-5095
Phone Number
208-228-6045
Fax Number
Provider Enumeration Date
04/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8082790000 05 ID
institution
Provider Business Practice Location Address Details
Address
2859 E 650 N
City
Roberts
State
Idaho
Zip
83444-5095
Phone Number
208-228-6045
Fax Number
person
Provider Business Mailing Address Details
Address
2859 E 650 N
City
Roberts
State
Idaho
Zip
83444-5095
Phone Number
208-228-6045
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
RC-960 (Idaho)
Definition
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.
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