Jacobs, Lakenya
Jacobs, Lakenya is an sole proprietor health care provider with primary practice located at 937 Commerce Rd Se , Palm Bay FL 32909-4732. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Jacobs, Lakenya can be contacted via phone (321) 626-0930.Contact Information
Primary practice address
937 Commerce Rd Se
Palm Bay FL 32909-4732
Phone: (321) 626-0930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X |
Profile Details
| NPI number | 1487122248 |
|---|---|
| LBN Legal business name | Jacobs, Lakenya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2018 |
| Last updated | Nov 8th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487122248 | NPPES |
| Florida | MEDICAID | 100108400 |
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