Hannah, Jacqueline

Hannah, Jacqueline is an sole proprietor health care provider with primary practice located at 924 Broadmoor Dr , Indianola MS 38751-3608. She recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Ambulatory Health Care Facilities / Adult Day Care. Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances is her primary health care specialty. Hannah, Jacqueline can be contacted via phone (662) 207-9842.

Contact Information

Primary practice address
924 Broadmoor Dr Indianola MS 38751-3608
Phone: (662) 207-9842
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X Mississippi

Profile Details

NPI number 1528447471
LBN Legal business name Hannah, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2015
Last updated Mar 9th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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