MEDICARE: DOROTHY HENSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1023635638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY HENSON

Provider Business Mailing Address
First Line	:	864 BARKS RD E
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-6522
Country	:	US
Telephone Number	:	740-244-3146
Fax Number	:

Provider Business Practice Location Address
First Line	:	864 BARKS RD E
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-6522
Country	:	US
Telephone Number	:	740-244-3146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	06/30/2020

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Directions to “ DOROTHY HENSON ” Practice Location

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