Individual
LYNDA L JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
981 NEIL CIR N, MANSFIELD, OH 44903-7699
(419) 908-7012
Mailing address
993 NEIL CIR N, MANSFIELD, OH 44903-7699
(419) 908-7012
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300892
—
OH
Enumeration date
09/30/2020
Last updated
09/30/2020
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