Hattie Henry Valid NPI

Individual provider · Adult Care Home Facility · West Bend, WI

NPI

1558293571

Type

Individual (Type 1)

Primary specialty

Adult Care Home Facility (Custodial Care Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

311ZA0620X

License number

0021054 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2026-06-02

Last updated

2026-06-02