CLAUDETTE JOHNSON NPI 1891170460

NPI Information

CLAUDETTE JOHNSON is an adult care home custodial care facility in Tampa, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CLAUDETTE JOHNSON NPI is 1891170460. The provider is registered as an organization entity type.

The provider's business location address is:

4617 HIDDEN SHADDOW DT
TAMPA, FL
ZIP 33614
Phone: (813) 513-4616

The provider's authorized official is Claudette Johnson .
The authorized official title is Provider and has the following contact phone number (813) 513-4616.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 7/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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