Individual ProviderSaccari JacobsCase Manager/Care CoordinatorOther Service ProvidersPractice Address209 S Lockard St, Blytheville, AR 72315-2541(870) 763-2139PECOS EnrollmentBased on the most recent information from CMS, provider Saccari Jacobs does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1861279457Provider TypeIndividualFull NameJacobs, SaccariGenderFemaleSole ProprietorYesEnumeration Date9/8/2023Last Updated9/8/2023Contact InformationPractice LocationPractice Address209 S Lockard St, Blytheville, AR 72315-2541Phone(870) 763-2139FaxUnlisted FaxMailing LocationMailing Address209 S Lockard St, Blytheville, AR 72315-2541Phone(870) 763-2139FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer