NPI 1932646247

Minell Henderson

Practitioner Contractor Casa Grande, AZ

Practice location

Address: 1320 E Palo Verde Dr., Casa Grande, AZ 85122
Phone: (480) 845-9222
Mailing address: Intermountain Centers for Human Development INC PO Box 86537, Tucson, AZ 85754-6537

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 9233373 (AZ)

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Respite Care

Respite Care Facility Taxonomy 385H00000X Licence BH5085 (AZ)

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Registry record

NPI: 1932646247
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2017
Record last updated: 15 Sep 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.