JEROME JACOB

LAFAYETTE, LA
NPI1689047805
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: LA  006065417)
Enumeration Date2015-11-10
Last Update Date2018-05-21
Business Address
Mr. JEROME JACOB
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Phone number: 337-380-8947
Mailing Address
Mr. JEROME JACOB
PHOENIX FAMILY LIFE CENTERS, 100 ASMA BLVD, SUITE 200, PHOENIX FAMILY LIFE CENTERS, 100 ASMA BLVD, SUITE 200,
LAFAYETTE, LA 70503-3221
Phone number: 337-380-8947
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