NPI 1508452491

Deborah Jean Jacoby

Practitioner Adult Care Home Facility Boise, ID

Practice location

Address: 115 W Willoway Dr, Boise, ID 83705-5937
Phone: (208) 345-6625
Mailing address: 3930 W Pine Ave, Boise, ID 83703-4850

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Idaho →

Home Health Agency

Agencies Taxonomy 251E00000X

Other Home Health providers in Idaho →

Registry record

NPI: 1508452491
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2020
Record last updated: 15 Dec 2020

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.