Whalio Doctors

NPI 1003463449

Brickney Henry

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Villa Rica, GA

Practice location

Address
652 Nine Oaks Cir, Villa Rica, GA 30180-2533
Phone
(516) 497-8012

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Home Health Agency
Agencies Taxonomy 251E00000X
Nursing Care Agency
Agencies Taxonomy 251J00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X

Registry record

NPI
1003463449
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Aug 2019
Record last updated
18 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.