Individual ProviderMackenzie JacobsenDay Training/Habilitation SpecialistNursing Service Related ProvidersPractice Address4205 W Figarden Dr, Fresno, CA 93722-6051(559) 221-1680PECOS EnrollmentBased on the most recent information from CMS, provider Mackenzie Jacobsen 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 4 days ago.Profile DetailsProvider ID1285395830Provider TypeIndividualFull NameJacobsen, MackenzieGenderFemaleSole ProprietorNoEnumeration Date1/5/2022Last Updated4/10/2025Contact InformationPractice LocationPractice Address4205 W Figarden Dr, Fresno, CA 93722-6051Phone(559) 221-1680Fax(559) 221-4336Mailing LocationMailing Address4205 W Figarden Dr, Fresno, CA 93722-6051Phone(559) 221-1680Fax(559) 221-4336Provider TaxonomiesCodeDescriptionLicenseCode373H00000XPrimaryDescriptionDay Training/Habilitation SpecialistNursing Service Related ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer