Organization
HENDERSON'S FOSTER CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERVIN LEROY HENDERSON OWNER (PRESIDENT)
(386) 574-1570
Entity
Organization
Contact information
Practice address
2563 SHEFFIELD DR, DELTONA, FL 32738-8807
(386) 574-1570
(386) 574-1562
Mailing address
2563 SHEFFIELD DR, DELTONA, FL 32738-8807
(386) 574-1570
(386) 574-1562
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
FOSTER CARE
FL
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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