Individual provider · Type 1 NPI
Katrena Faye Johnson, SUPPORTED LIVING COA
Contractor · Greenwood, FL
Practice location
4500 Crusaders Way
Greenwood, FL 32443-6907
Fax (850) 592-8195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | None listed |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
About NPI 1396755773
Katrena Faye Johnson, SUPPORTED LIVING COA's National Provider Identifier is 1396755773, issued on Aug 9, 2006. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Greenwood, FL. The record was last updated on Jul 8, 2007.