Individual
LEYANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5975 N BEECHWOOD ST, PHILADELPHIA, PA 19138-2937
(484) 843-3152
Mailing address
5975 N BEECHWOOD ST, PHILADELPHIA, PA 19138-2937
(484) 843-3152
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
84383601
PA
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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