Jacqueline Hannah
Jacqueline Hannah is an Assisted Living Facility (Behavioral Disturbances) in Indianola, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
924 Broadmoor DrIndianola, MS 38751-3608
Phone: (662) 207-9842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (Behavioral Disturbances) (primary) | Taxonomy 3104A0630X |
|---|---|
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X (MS) |
Record details
| NPI number | 1528447471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2015 |
| Last updated in NPPES | March 9, 2017 |