MELINDA BETH JACOB

DAYTON, OH
NPI1184748659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: OH  ota02908)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- MELINDA BETH JACOB COTA
1390 KING TREE DR
DAYTON, OH 45405-1401
Phone number: 937-278-0723
Mailing Address
-- MELINDA BETH JACOB COTA
5864 BEECHAM DRIVE
HUBER HEIGHTS, OH 45424
Phone number: