Organization
A JOHNSON SPARKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA JOHNSON (OWNER)
(336) 253-1031
Entity
Organization
Contact information
Practice address
2305 COTTAGE PL, GREENSBORO, NC 27455-2910
(336) 253-1031
Mailing address
2305 COTTAGE PL, GREENSBORO, NC 27455-2910
(336) 253-1031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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