Individual provider · Type 1 NPI

Tara Demetria Johnson

Assisted Living Facility · Palm Bay, FL

NPI number 1851883706 Active

Practice location

226 Abalone Rd NW
Palm Bay, FL 32907-2964

Call (321) 480-4052 Map

Mailing address

304 Hanford Rd SW
Palm Bay, FL 32908-1200

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XALF13181 (FL)

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 1851883706

Tara Demetria Johnson's National Provider Identifier is 1851883706, issued on Jun 5, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Palm Bay, FL. The record was last updated on Jun 5, 2018.