Whalio Doctors

NPI 1083441752

Jakobs Home, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Grand Bay, AL

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
Residential Treatment Facilities Taxonomy 320900000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X

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.