person
Keoni K Henson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Apache Junction, Arizona
NPI 1356026819

Keoni K Henson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Sparks, AZ. Keoni K Henson practices in Apache Junction, AZ. The NPI Number for Keoni K Henson is 1356026819 and holds a License No. (Arizona).

The current practice location address for Keoni K Henson is 1711 E Barnacle Ave, Apache Junction, AZ and can be reached out via phone at 775-412-2351.

Location: 1711 E Barnacle Ave, Apache Junction, AZ, 89436-1877
person
Provider Profile Details
NPI Number
1356026819
Provider Name
Keoni K Henson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1711 E Barnacle Ave, Apache Junction, AZ, 89436-1877
Phone Number
775-412-2351
Fax Number
Provider Enumeration Date
06/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1711 E Barnacle Ave
City
State
Zip
85119-3796
Phone Number
775-412-2351
Fax Number
person
Provider Business Mailing Address Details
Address
1711 E Barnacle Ave
City
State
Zip
85119-3796
Phone Number
775-412-2351
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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