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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ADELLA JACOBS

Active Sole Proprietor

MS. ADELLA JACOBS is a Assisted Living Facility healthcare provider located in NORTH MANKATO, Minnesota. NPI 1952711988 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · NORTH MANKATO, MN

Registration Details

NPI Number
1952711988
Provider Type
Individual
Gender
Female
NPI Issued
Apr 29, 2014 (12.104421245001 yrs)
Last Updated
Apr 29, 2014
License
208344-1-AFC (MN)
Sole Proprietor
Yes

Practice Information

Address
1235 LAKE ST
NORTH MANKATO, MN, 560032030
Browse MN providers · Browse ZIP 56003
Phone
5074698527
Primary Specialty
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.