NPI 1104326834

Brenda Snow Jacobs

Practitioner Child Intellectual and/or Developmental Disabilities Respite Care McDonough, GA

Practice location

Address: 147 Summerfield Dr, McDonough, GA 30253-5308
Phone: (678) 600-6704

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1104326834
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2018
Record last updated: 19 Feb 2018

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.