| Hannah House, Inc | |
|
10 Abbott St Lebanon NH 03766-1615 | |
| (603) 448-5339 | |
| (603) 448-5398 |
| Full Name | Hannah House, Inc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 10 Abbott St, Lebanon, New Hampshire |
| Authorized Official Name and Position | Randy Paul Walker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6034485339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah House, Inc Po Box 591 Lebanon NH 03766-0591 Ph: (603) 448-5339 | Hannah House, Inc 10 Abbott St Lebanon NH 03766-1615 Ph: (603) 448-5339 |
| NPI Number | 1164607032 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164607032 | NPI | - | NPPES |
| 30852368 | Medicaid | NH | |
| 30007073 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Primary |
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