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Organization
STARRANGEL
Active
Organization
STARRANGEL
Active
Other names
Tia Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
TIA HENDERSON (IP)
(330) 327-9128
Entity
Organization
Contact information
Practice address
309 1ST ST SW, MASSILLON, OH 44646-6723
(330) 327-9128
Mailing address
309 1ST ST SW, MASSILLON, OH 44646-6723
(330) 327-9128
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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