BENNIE JACOBS
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1730920356- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1671 CENTURY CIR APT 124, WOODBURY, MN, 551252116
- Phone
- (612) 220-8036
Specialties & Taxonomies
Home Health Aide
Primary License: MN #1104163