Individual
LONDA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 CROSSCREEK RD, HEPHZIBAH, GA 30815-6602
(706) 750-5439
Mailing address
2631 CROSSCREEK RD, HEPHZIBAH, GA 30815-6602
(706) 750-5439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
08/17/2022
Last updated
05/20/2024
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