Individual
HOLLI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11493 U.S. RT 50, BOURNEVILLE, OH 45617-4561
(740) 542-9481
Mailing address
804 HARRIS STATION RD APT SUITE, BAINBRIDGE, OH 45612-9734
(740) 542-9481
(740) 542-9481
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345
—
OH
Enumeration date
10/27/2022
Last updated
10/27/2022
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