- Enrollment id
- O20091211000538
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1043454929
- Multiple npi flag
- N
- Ccn
- 747642
- Associate id
- 7719027325
- Organization name
- JEFTONS HEALTH CARE SERVICES, INC.
- Incorporation date
- 2009-03-06
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 337 OAKS TRAIL
- Address line 2
- SUITE 105
- City
- GARLAND
- State
- TX
- Zip code
- 750438028
- Practice location type
- HHA BRANCH