| NPI | 1144062530 |
|---|---|
| Professional Name | GEORGE CLEVELAND HENDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174200000X Meals (Licence: DC FS-103770) |
| Additional Taxonomies | 332U00000X Home Delivered Meals (Licence: DC FS-103770) |
| 374K00000X | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |