Provider Demographics
NPI:1033441555
Name:BILL HENRY
Entity Type:Organization
Organization Name:BILL HENRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-201-1404
Mailing Address - Street 1:108 ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-3669
Mailing Address - Country:US
Mailing Address - Phone:864-201-1404
Mailing Address - Fax:864-487-4570
Practice Address - Street 1:1252 OVERBROOK DR
Practice Address - Street 2:15
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-1057
Practice Address - Country:US
Practice Address - Phone:864-487-5584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies