Organization Name: | HENRY'S PERSONAL CARE HOME INC. |
NPI Number: | 1639392137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLORIA HENRY (OWNER) |
Mailing Address: | 305 Chase Woods Cir Jonesboro |
State: | GA US |
Postal Code: | 302362091 |
Phone Number: | 7702101744 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |