| NPI | 1093019846 |
|---|---|
| Other Name | KEILAND HENDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2023-06-07 |