Individual
INDIA HENDERSON-CRAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 JACKSON BLVD, BEDFORD, OH 44146-2021
(330) 268-9792
Mailing address
21 JACKSON BLVD, BEDFORD, OH 44146-2021
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
374U00000X
Home Health Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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