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Minell Henderson
Contractor in Casa Grande, Arizona
NPI 1932646247

Minell Henderson is a Contractor based in Tucson, AZ. Minell Henderson practices in Casa Grande, AZ. The NPI Number for Minell Henderson is 1932646247 and holds a License No. BH5085 (Arizona).

The current practice location address for Minell Henderson is 1320 E Palo Verde Dr., Casa Grande, AZ and can be reached out via phone at 480-845-9222.

Location: 1320 E Palo Verde Dr., Casa Grande, AZ, 85754-6537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932646247
Provider Name
Minell Henderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1320 E Palo Verde Dr., Casa Grande, AZ, 85754-6537
Phone Number
480-845-9222
Fax Number
Provider Enumeration Date
01/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH5085 01 AZ AZ DEPT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
1320 E Palo Verde Dr.
City
Casa Grande
State
Arizona
Zip
85122
Phone Number
480-845-9222
Fax Number
person
Provider Business Mailing Address Details
Address
1320 E Palo Verde Dr.
City
Casa Grande
State
Arizona
Zip
85122
Phone Number
480-845-9222
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
9233373 (Arizona)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
BH5085 (Arizona)
Definition
Definition to come.
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