Organization
JACOBS LADDER TO RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GRAVES (MANAGING PARTNER)
(740) 709-2210
Entity
Organization
Contact information
Practice address
599 W MAIN ST, GENEVA, OH 44041-1252
(740) 709-2210
Mailing address
307 4TH ST E APT 1A, SOUTH POINT, OH 45680-8456
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
05/05/2026
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