Individual
ANTHONY L JACOBS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15504 ROWENA AVE, MAPLE HEIGHTS, OH 44137-4828
(216) 905-1606
Mailing address
15504 ROWENA AVE, MAPLE HEIGHTS, OH 44137-4828
(216) 905-1606
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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