Individual
MRS. GLENDA ALISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13514 KELSO AVE, CLEVELAND, OH 44110
(216) 925-6559
Mailing address
13514 KELSO AVE, CLEVELAND, OH 44110
(216) 925-6559
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
375268750696
OH
Other
Enumeration date
05/29/2008
Last updated
05/11/2026
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