Individual provider · Type 1 NPI

Kadeem David Johnson

Skilled Nursing Facility · Wallingford, CT

NPI number 1194286005 Active

Practice location

35 Mark Drive
Wallingford, CT 06492

Mailing address

2 Park Pl Apt 18E
Hartford, CT 06106-5016

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1194286005

Kadeem David Johnson's National Provider Identifier is 1194286005, issued on Mar 26, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wallingford, CT. The record was last updated on Jul 10, 2023.