Organization · Type 2 NPI

Claudette Johnson

Adult Care Home Facility · Tampa, FL

NPI number 1891170460 Active

Practice location

4617 Hidden Shaddow Dt
Tampa, FL 33614

Call (813) 513-4616 Map

Mailing address

4617 Hidden Shadow Dr
Tampa, FL 33614-1476

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X311ZA0620X (FL)

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 1891170460

Claudette Johnson's National Provider Identifier is 1891170460, issued on Jul 24, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Tampa, FL. The record was last updated on Jul 24, 2015.