Individual provider · Type 1 NPI

Shellise Johnson

Assisted Living Facility · Baltimore, MD

NPI number 1023608049 Active

Practice location

1703 E 29th St
Baltimore, MD 21218-3745

Call (443) 869-6882 Map

Mailing address

703 Macdill Rd
Middle River, MD 21220-3794

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X30AL3875 (MD)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1023608049

Shellise Johnson's National Provider Identifier is 1023608049, issued on Jan 23, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Baltimore, MD. The record was last updated on Jan 23, 2021.