Eli Jacobs
Technician, Personal Care Attendant in Wharton, WV. Individual provider (NPI-1).
NPI number1164032231
StatusActive
Last updated in NPPESAug 4, 2020
Details
- NPI
- 1164032231
- Entity type
- Individual (NPI-1)
- Name
- Eli Jacobs
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2020
- Certification date
- Aug 4, 2020
- Last updated
- Aug 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
46 Fleming LnWharton, WV 25208-9503
Phone 304-245-8124
Mailing address
46 Fleming LnWharton, WV 25208-9503
Phone 304-245-8124
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