Henderson, Minell
Henderson, Minell is an sole proprietor health care provider with primary practice located at 1320 E Palo Verde Dr. , Casa Grande AZ 85122. She recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Other Service Providers / Contractor. Other Service Providers / Contractor is her primary health care specialty. Henderson, Minell can be contacted via phone (480) 845-9222.Contact Information
Primary practice address
1320 E Palo Verde Dr.
Casa Grande AZ 85122
Phone: (480) 845-9222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care | 385H00000X | BH5085 | Arizona |
| Other Service Providers / Contractor | 171W00000X | 9233373 | Arizona |
Profile Details
| NPI number | 1932646247 |
|---|---|
| LBN Legal business name | Henderson, Minell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2017 |
| Last updated | Sep 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932646247 | NPPES |
| Arizona | Other | BH5085 | AZ DEPT OF HEALTH SERVICES |
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