Organization
JACOB'S PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER REYES (ADMINISTRATOR)
(310) 499-3861
Entity
Organization
Contact information
Practice address
80 W BULLARD AVE STE 107-110, CLOVIS, CA 93612-0946
(559) 999-8341
Mailing address
80 W BULLARD AVE STE 107-110, CLOVIS, CA 93612-0946
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
226000000X
Recreational Therapist Assistant
—
—
Other
Enumeration date
10/15/2025
Last updated
10/16/2025
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