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Individual
MRS. SHANTANA D JOHNSON
Active
Individual
MRS. SHANTANA D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299995365
FL
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022449300
—
FL
05
—
108545900
—
FL
Enumeration date
08/19/2021
Last updated
06/26/2024
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