Individual provider · Type 1 NPI

Carla Henderson

Adult Care Home Facility · Bradenton, FL

NPI number 1336685106 Active

Practice location

5103 19th Ct E
Bradenton, FL 34203-4266

Call (941) 345-0974 Map

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed
Adult Care Home Facility Primary 311ZA0620X6906892 (FL)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1336685106

Carla Henderson's National Provider Identifier is 1336685106, issued on Jan 17, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Bradenton, FL. The record was last updated on Jul 9, 2022.