Jacqueline Hannah

Individual Active
NPI 1528447471
Assisted Living Facility (Behavioral Disturbances) Indianola, MS

NPI 1528447471 belongs to Jacqueline Hannah, an assisted living facility (behavioral disturbances) with a practice location in Indianola, MS. The NPI was issued on May 26, 2015, and the record was last updated in NPPES on March 9, 2017. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2017. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Assisted Living Facility (Behavioral Disturbances) Primary 3104A0630X Not listed
Adult Day Care Clinic/Center 261QA0600X (MS)

Practice location

924 Broadmoor Dr
Indianola, MS 38751-3608
Phone: (662) 207-9842

Local context

Active NPPES records list 1 provider with assisted living facility (behavioral disturbances) as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 4 in Mississippi and 586 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jacqueline Hannah
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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