Individual provider · Type 1 NPI
Tonya Alicia Johnson
Adult Care Home Facility · Reddick, FL
NPI number
1790213627
Active
Practice location
15260 NW 29th Ter
Reddick, FL 32686-3332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None 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.
Another provider at this address
Other adult care home facility providers in Reddick
About NPI 1790213627
Tonya Alicia Johnson's National Provider Identifier is 1790213627, issued on May 23, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Reddick, FL. The record was last updated on Jul 21, 2022.