Organization
JOHNSONS GATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA CATHERINE JOHNSON (OWNER)
(863) 255-9370
Entity
Organization
Contact information
Practice address
2736 W 10TH ST, LAKELAND, FL 33805-3982
(863) 255-9370
Mailing address
1106 MELVILLE AVE, LAKELAND, FL 33805-3959
(863) 255-9370
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
FL
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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