Organization
HENRY'S INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL HENRY JR. (PRESIDENT/PROVIDER)
(248) 855-8471
Entity
Organization
Contact information
Practice address
30935 PENNSYLVANIA RD, ROMULUS, MI 48174-9215
(734) 941-5528
Mailing address
29202 BRADMOOR CT, FARMINGTON HILLS, MI 48334-3261
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS820273992
MI
320700000X
Physical Disabilities Residential Treatment Facility
AS820273992
MI
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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