Individual
MISTY HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 TANGLEWOOD DR, DAWSONVILLE, GA 30534-8140
(706) 960-2483
(706) 960-2499
Mailing address
50 TANGLEWOOD DR, DAWSONVILLE, GA 30534-8140
(706) 960-2483
(706) 960-2499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH009333
GA
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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