Individual
MONICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3472 FRIENDSHIP ST # 1, PHILADELPHIA, PA 19149-1652
(267) 870-7212
Mailing address
PO BOX 28542, PHILADELPHIA, PA 19149-0542
(267) 870-7212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
881469
PA
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/19/2021
Last updated
10/29/2024
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