Provider Demographics
NPI:1891570271
Name:KING, HENRY
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:KING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5542 KAREN LN
Mailing Address - Street 2:#1510
Mailing Address - City:NEW CARROLLTN
Mailing Address - State:MD
Mailing Address - Zip Code:20784
Mailing Address - Country:US
Mailing Address - Phone:202-758-8192
Mailing Address - Fax:
Practice Address - Street 1:5542 KAREN LN
Practice Address - Street 2:#1510
Practice Address - City:NEW CARROLLTN
Practice Address - State:MD
Practice Address - Zip Code:20784
Practice Address - Country:US
Practice Address - Phone:202-758-8192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant