DEBORAH JEAN JACOBY NPI 1508452491

NPI Information

Deborah Jean Jacoby is an adult care home custodial care facility in Boise, ID. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. Deborah Jean Jacoby NPI is 1508452491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 W WILLOWAY DR
BOISE, ID
ZIP 83705-937
Phone: (208) 345-6625

The enumeration date for this NPI number is 12/15/2020 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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