Individual
ANGELA MARIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 WOODLORE DR, CHICKASAW, AL 36611-1669
(228) 263-4899
Mailing address
511 WOODLORE DR, CHICKASAW, AL 36611-1669
(228) 263-4899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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