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Individual

ANGELA HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
102 HOWELL ST, GUTHRIE, KY 42234-4223
(229) 234-0062
Mailing address
102 HOWELL ST, GUTHRIE, KY 42234
(229) 234-0062

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
310400000X
Assisted Living Facility
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
03/30/2021
Last updated
04/07/2021
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