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Shelly Marie Henderson, RMA
Physical Disabilities Residential Treatment Facility in Colbert, Washington
NPI 1396040077

Shelly Marie Henderson is a Physical Disabilities Residential Treatment Facility based in Colbert, WA. Shelly Marie Henderson practices in Colbert, WA and has the professional credentials of RMA. The NPI Number for Shelly Marie Henderson is 1396040077 and holds a License No. 249694 (Washington).

The current practice location address for Shelly Marie Henderson is 5612 E Cargill Ln, Colbert, WA and can be reached out via phone at 509-238-4171.

Location: 5612 E Cargill Ln, Colbert, WA, 99005-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396040077
Provider Name
Shelly Marie Henderson
Credential
RMA
Provider Entity Type
Individual
Gender
Female
Address
5612 E Cargill Ln, Colbert, WA, 99005-9142
Phone Number
509-238-4171
Fax Number
Provider Enumeration Date
01/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5612 E Cargill Ln
City
Colbert
State
Washington
Zip
99005-9110
Phone Number
509-238-4171
Fax Number
person
Provider Business Mailing Address Details
Address
5612 E Cargill Ln
City
Colbert
State
Washington
Zip
99005-9110
Phone Number
509-238-4171
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
249694 (Washington)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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