person
Alexis Jacobs
Health Service Clinic/Center in Columbia, South Carolina
NPI 1003417585

Alexis Jacobs is a Health Service Clinic/Center based in Columbia, SC and is specialized in Health Service. Alexis Jacobs practices in Columbia, SC. The NPI Number for Alexis Jacobs is 1003417585 and holds a License No. (South Carolina).

The current practice location address for Alexis Jacobs is 100 Mondamin Rd, Columbia, SC and can be reached out via phone at 803-479-7696. You can also correspond with Alexis Jacobs through the mailing address at 100 MONDAMIN RD, COLUMBIA, SC - 29210-8216 (mailing address contact number: 803-479-7696).

Location: 100 Mondamin Rd, Columbia, SC, 29210-8216
person
Provider Profile Details
NPI Number
1003417585
Provider Name
Alexis Jacobs
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Mondamin Rd, Columbia, SC, 29210-8216
Phone Number
803-479-7696
Fax Number
Provider Enumeration Date
11/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Mondamin Rd
City
State
Zip
29210-8216
Phone Number
803-479-7696
Fax Number
person
Provider Business Mailing Address Details
Address
100 Mondamin Rd
City
State
Zip
29210-8216
Phone Number
803-479-7696
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
(South Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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