Provider Demographics
NPI:1598247793
Name:HAYS, JACQUELIN LOU
Entity Type:Individual
Prefix:MRS
First Name:JACQUELIN
Middle Name:LOU
Last Name:HAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JACQUELIN
Other - Middle Name:
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:46311 PINE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:OH
Mailing Address - Zip Code:44455-9778
Mailing Address - Country:US
Mailing Address - Phone:330-692-2520
Mailing Address - Fax:
Practice Address - Street 1:46311 PINE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:OH
Practice Address - Zip Code:44455-9778
Practice Address - Country:US
Practice Address - Phone:330-692-2520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care