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Shelly Jacobs Md Pllc
Substance Abuse Rehabilitation Facility in Oklahoma City, Oklahoma
NPI 1770204364

Shelly Jacobs Md Pllc is a Substance Abuse Rehabilitation Facility based in Oklahoma City, OK. Shelly Jacobs Md Pllc practices in Oklahoma City, OK. The NPI Number for Shelly Jacobs Md Pllc is 1770204364 and holds a License No. (Oklahoma).

The current practice location address for Shelly Jacobs Md Pllc is 6424 N Portland Ave, Oklahoma City, OK and can be reached out via phone at 405-757-4643.

Location: 6424 N Portland Ave, Oklahoma City, OK, 73116-2012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770204364
Provider Name
Shelly Jacobs Md Pllc
Credential
Provider Entity Type
Organization
Address
6424 N Portland Ave, Oklahoma City, OK, 73116-2012
Phone Number
405-757-4643
Fax Number
Provider Enumeration Date
09/12/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6424 N Portland Ave
City
Oklahoma City
State
Oklahoma
Zip
73116-2012
Phone Number
405-757-4643
Fax Number
person
Provider Business Mailing Address Details
Address
6424 N Portland Ave
City
Oklahoma City
State
Oklahoma
Zip
73116-2012
Phone Number
405-757-4643
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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