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Individual

JOHNISHA ASHAKI MCPHAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5736 N TRYON ST STE 225A, CHARLOTTE, NC 28213-0820
(704) 737-5829
Mailing address
1800 OVERVIEW DR, ROCK HILL, SC 29730-7463
(704) 737-5829

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BN1400X
Nursing Facility Supplies (DME)
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
385H00000X
Respite Care

Other

Enumeration date
12/20/2016
Last updated
04/23/2019
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