Most Relevant Information
Provider Data
| NPI Number: | 1003494238 |
| Provider Name: | ANGELA HENRY |
| Entity Type: | Individual |
| Taxonomy Code: | 310400000X |
| Specialty: | Assisted Living Facility |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2021 |
| Last Updated: | 04/07/2021 |
Provider Practice Location
102 HOWELL ST
GUTHRIE
KY
422344223
Practice Location Phone/Fax
| Phone: | 2292340062 |
| Fax: |
Provider Mailing Location
102 HOWELL ST
GUTHRIE
KY
42234
Provider Mailing Phone/Fax
| Phone: | 2292340062 |
| Fax: |