National Provider Identifier Database

JACQUELINE HANNAH
Assisted Living, Behavioral Disturbances

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.


Contact Information

JACQUELINE HANNAH
924 BROADMOOR DR
INDIANOLA, MS38751-3608
Phone: 662-207-9842
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living, Behavioral Disturbances 3104A0630X
Adult Day Care 261QA0600X

* Indicates primary specialty

NPI Profile & details for JACQUELINE HANNAH

NPI Number 1528447471
Credentials
Entity Individual
Enumeration date 05/26/2015
Last updated 03/09/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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