MICHELLE JOHNSON NPI 1811145006

NPI Information

NPI: 1811145006
Provider Name: MICHELLE JOHNSON
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1545 PARKWOOD ST
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 858-9740
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MICHELLE JOHNSON is a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MICHELLE JOHNSON NPI is 1811145006. The provider is registered as an organization entity type.

The provider's business location address is:

1545 PARKWOOD ST
JACKSONVILLE, FL
ZIP 32207-476
Phone: (904) 858-9740
Fax: (904) 733-2681

The provider's authorized official is Michelle Johnson .
The authorized official title is Provider and has the following contact phone number (904) 858-9740.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 7/21/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities	FLORIDA	No
2	324500000X	Substance Abuse Rehabilitation Facility	FLORIDA	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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