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Theadore Joseph Henley, QSP
Respite Care in Reeder, North Dakota
NPI 1871192856

Theadore Joseph Henley is a Respite Care based in Reeder, ND. Theadore Joseph Henley practices in Reeder, ND and has the professional credentials of QSP. The NPI Number for Theadore Joseph Henley is 1871192856 and holds a License No. (North Dakota).

The current practice location address for Theadore Joseph Henley is 604 2Nd St, Reeder, ND and can be reached out via phone at 701-498-0731.

Location: 604 2Nd St, Reeder, ND, 58649-4939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871192856
Provider Name
Theadore Joseph Henley
Credential
QSP
Provider Entity Type
Individual
Gender
Male
Address
604 2Nd St, Reeder, ND, 58649-4939
Phone Number
701-498-0731
Fax Number
Provider Enumeration Date
10/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477909 05 ND
institution
Provider Business Practice Location Address Details
Address
604 2Nd St
City
Reeder
State
North Dakota
Zip
58649-4939
Phone Number
701-498-0731
Fax Number
person
Provider Business Mailing Address Details
Address
604 2Nd St
City
Reeder
State
North Dakota
Zip
58649-4939
Phone Number
701-498-0731
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
(North Dakota)
Definition
Definition to come.
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