Provider Demographics
NPI:1528892072
Name:HENRY, CHRISTIE (HOME HEALTH CARE)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:
Last Name:HENRY
Suffix:
Gender:F
Credentials:HOME HEALTH CARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 QUAKER ROAD DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-1073
Mailing Address - Country:US
Mailing Address - Phone:706-526-5413
Mailing Address - Fax:
Practice Address - Street 1:918 QUAKER ROAD DR
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-1073
Practice Address - Country:US
Practice Address - Phone:706-526-5413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide