Organization
JOHNSONS PHENOMENAL HANDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN RENA JOHNSON (OWNER)
(314) 471-1441
Entity
Organization
Contact information
Practice address
10757 SPRING GARDEN DR, SAINT LOUIS, MO 63137-4534
(314) 471-1441
Mailing address
10757 SPRING GARDEN DR, SAINT LOUIS, MO 63137-4534
(314) 471-1441
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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