Organization
JOHNSON STAFFING AGENCY LLC
Active
Other names
Nurses Care Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOMONIQUE LESHAE JOHNSON LPN (CEO)
(662) 299-1275
Entity
Organization
Contact information
Practice address
522 W PARK AVE STE U, GREENWOOD, MS 38930-2950
(662) 299-1275
(662) 214-6152
Mailing address
522 W PARK AVE STE U, GREENWOOD, MS 38930-2950
(662) 299-1275
(662) 214-6152
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
Update your record
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