Individual
MRS. SHANELL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CHESTERFIELD BUSINESS PKWY STE 200, CHESTERFIELD, MO 63005-1271
(410) 487-4300
Mailing address
2131 ESPEY CT STE 2, CROFTON, MD 21114-2474
(410) 487-4300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
02/01/2022
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