Individual
CALVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1008A MASTERS LN, GREENVILLE, NC 27834-8015
(252) 814-8789
Mailing address
1008A MASTERS LN, GREENVILLE, NC 27834-8015
(252) 814-8789
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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