Individual
JACOB LUKE FORGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1469 HENLINE WAY, WATERVILLE, OH 43566-8789
(916) 516-4576
Mailing address
735 DURANGO DR, TOLEDO, OH 43609-1731
(916) 516-4576
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
09/11/2025
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