Individual
ANDREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4022 W 19TH PL, GARY, IN 46404-2518
(219) 314-2539
Mailing address
8330 COLUMBIA AVE, MUNSTER, IN 46321-1807
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IN
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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