NPI 1083441752
Jakobs Home, LLC
Practice location
- Address
- 10074 Cody Driskell Rd Lot 2, Grand Bay, AL 36541-6134
- Phone
- (251) 366-1017
Authorised official
- Name
- Dominique Z Nelson
- Title
- Executive Director
- Phone
- (251) 366-1017
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1083441752
- Entity type
- Organization
- NPI issued
- 17 Sep 2024
- Record last updated
- 17 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.