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Individual
CARLA HENDERSON
Active
Individual
CARLA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
FL
311ZA0620X
Adult Care Home Facility
Primary
6906892
FL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
01/17/2017
Last updated
07/09/2022
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