Individual
BETTY HAYNES-JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2114 NOBLE RD, CLEVELAND, OH 44112-1725
(440) 867-4171
Mailing address
12074 HUNTOON RD, CONCORD TOWNSHIP, OH 44077-9727
(144) 086-7417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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