Individual provider · Type 1 NPI
Deborah Jean Jacoby
Adult Care Home Facility · Boise, ID
NPI number
1508452491
Active
Practice location
115 W Willoway Dr
Boise, ID 83705-5937
Mailing address
3930 W Pine Ave
Boise, ID 83703-4850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: 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.
Other adult care home facility providers in Boise
About NPI 1508452491
Deborah Jean Jacoby's National Provider Identifier is 1508452491, issued on Dec 15, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Boise, ID. The record was last updated on Dec 15, 2020.