Individual provider · Type 1 NPI

Violet Johnson

Adult Care Home Facility · Indianapolis, IN

NPI number 1629513700 Active

Practice location

3213 N Riley Ave
Indianapolis, IN 46218-2350

Call (317) 602-2061 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: 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.

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About NPI 1629513700

Violet Johnson's National Provider Identifier is 1629513700, issued on Dec 28, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 28, 2016.