| Wr Jacobs Enterprises, Llc | |
|
806 Ne Lowell Dr Ankeny IA 50021-2090 | |
| (515) 509-0219 | |
| Not Available |
| Full Name | Wr Jacobs Enterprises, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 806 Ne Lowell Dr, Ankeny, Iowa |
| Authorized Official Name and Position | Warren R Jacobs (OWNER, LICENSED FAMILY THERAPIST) |
| Authorized Official Contact | 5155090219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wr Jacobs Enterprises, Llc 806 Ne Lowell Dr Ankeny IA 50021-2090 Ph: (515) 509-0219 | Wr Jacobs Enterprises, Llc 806 Ne Lowell Dr Ankeny IA 50021-2090 Ph: (515) 509-0219 |
| NPI Number | 1104519065 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 05/29/2023 |
| Certification Date | 05/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104519065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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