Provider Demographics
NPI:1730227596
Name:JEFF INDUSTRIES, INC.
Entity type:Organization
Organization Name:JEFF INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MSED CPRP
Authorized Official - Phone:561-547-9258
Mailing Address - Street 1:115 E COAST AVE
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-5316
Mailing Address - Country:US
Mailing Address - Phone:561-547-9258
Mailing Address - Fax:561-547-9682
Practice Address - Street 1:115 E COAST AVE
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-5316
Practice Address - Country:US
Practice Address - Phone:561-547-9258
Practice Address - Fax:561-547-9682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health