Most Relevant Information
Provider Data
| NPI Number: | 1003463449 |
| Provider Name: | BRICKNEY HENRY |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/21/2019 |
| Last Updated: | 12/18/2020 |
Provider Practice Location
652 NINE OAKS CIR
VILLA RICA
GA
301802533
Practice Location Phone/Fax
| Phone: | 5164978012 |
| Fax: |
Provider Mailing Location
652 NINE OAKS CIR
VILLA RICA
GA
301802533
Provider Mailing Phone/Fax
| Phone: | 5164978012 |
| Fax: |