# WCG HENDERSON HOME HEALTH CARE SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henderson Home Care Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477739225
- **Authorized official:** BURT ALLEN KING (CFO)
- **Authorized official phone:** (903) 657-8969

## Contact information

- **Practice address:** 702 FAIR PARK DR., SUITE 103, HENDERSON, TX 75654
- **Practice address phone:** (903) 657-7285
- **Practice address fax:** (903) 657-3027
- **Mailing address:** 702 FAIR PARK DR, SUITE 103, HENDERSON, TX 75654
- **Mailing address phone:** (903) 657-7285
- **Mailing address fax:** (903) 657-3027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 03/06/2014