Organization
JACOBS LADDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE LLOYD (OWNER)
(662) 399-5781
Entity
Organization
Contact information
Practice address
14065 W WINDWARD AVE, GOODYEAR, AZ 85395-2050
(623) 399-5781
Mailing address
14065 W WINDWARD AVE, GOODYEAR, AZ 85395-2050
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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