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Nicole Delores Henson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Parkville, Missouri
NPI 1013204544

Nicole Delores Henson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Parkville, MO. Nicole Delores Henson practices in Parkville, MO. The NPI Number for Nicole Delores Henson is 1013204544 and holds a License No. (Missouri).

The current practice location address for Nicole Delores Henson is 9310 Nw 59Th Ter, Parkville, MO and can be reached out via phone at 913-909-5205.

Location: 9310 Nw 59Th Ter, Parkville, MO, 64152-3536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013204544
Provider Name
Nicole Delores Henson
Credential
Provider Entity Type
Individual
Gender
Female
Address
9310 Nw 59Th Ter, Parkville, MO, 64152-3536
Phone Number
913-909-5205
Fax Number
Provider Enumeration Date
07/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9310 Nw 59Th Ter
City
Parkville
State
Missouri
Zip
64152-3536
Phone Number
913-909-5205
Fax Number
person
Provider Business Mailing Address Details
Address
9310 Nw 59Th Ter
City
Parkville
State
Missouri
Zip
64152-3536
Phone Number
913-909-5205
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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