MR. RAYFIELD WAYNE JEFFERSON NPI 1114165495

NPI Information

NPI: 1114165495
Provider Name: MR. RAYFIELD WAYNE JEFFERSON
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Individual
Address:
2330 FM 222
COLDSPRING, TX
ZIP 77331
Phone: (936) 653-4113
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MR. Rayfield Wayne Jefferson is a residential treatment facility, intellectual and/or developmental disabilities in Coldspring, TX. The provider is 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. MR. Rayfield Wayne Jefferson NPI is 1114165495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2330 FM 222
COLDSPRING, TX
ZIP 77331
Phone: (936) 653-4113

The enumeration date for this NPI number is 1/26/2009 and was last updated on 1/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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