Individual
TRAVIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8500 STATION ST, MENTOR, OH 44060-4943
(216) 857-8527
Mailing address
8500 STATION ST, MENTOR, OH 44060-4943
(216) 857-8527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
11/25/2024
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