Keoni K Henson
Keoni K Henson is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Apache Junction, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
1711 E Barnacle AveApache Junction, AZ 85119-3796
Phone: (775) 412-2351
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (AZ) |
|---|
Record details
| NPI number | 1356026819 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 21, 2023 |
| Last updated in NPPES | June 21, 2023 |
| Certification date | June 21, 2023 |
| Mailing address | 588 Carson Pass Ct, Sparks, NV 89436-1877 |