Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Behavior Technician |
106S00000X | |||
Occupational Therapy Assistant |
224Z00000X |
| NPI # | 1285156240 |
||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Not specified | ||||||||
| Enumeration date | 07/12/2017 | ||||||||
| Last updated | 09/01/2024 - More than a year ago | ||||||||
| Identifiers |
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DAWN M JOHNSON
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