Organization
S. JOHNSON HOME CARE ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANDA JOHNSON (PRESIDENT/OWNER)
(419) 699-6769
Entity
Organization
Contact information
Practice address
7414 PAGE RANCH CT, LAS VEGAS, NV 89131-3244
(419) 699-6769
Mailing address
7414 PAGE RANCH CT, LAS VEGAS, NV 89131-3244
(419) 699-6769
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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