# EMPOWERED ABILITIES HEALTHCARE SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104645936
- **Authorized official:** MR. JOHNNIE LEE JOHNSON JR. LPN, CLC, SLC (OWNER)
- **Authorized official phone:** (941) 264-9975

## Contact information

- **Practice address:** 2606 11TH AVE W, BRADENTON, FL 34205-4017
- **Practice address phone:** (941) 264-9975
- **Mailing address:** 2606 11TH AVE W, BRADENTON, FL 34205-4017
- **Mailing address phone:** (941) 264-9975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 10/08/2024