Individual provider · Type 1 NPI
Nicole Delores Henson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Parkville, MO
Practice location
9310 NW 59th Ter
Parkville, MO 64152-3536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1013204544
Nicole Delores Henson's National Provider Identifier is 1013204544, issued on Jul 5, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Parkville, MO. The record was last updated on Aug 5, 2015.