A Johnson Sparkle LLC
In Home Supportive Care in Greensboro, NC. Organization (NPI-2).
NPI number1083223358
StatusActive
Last updated in NPPESJul 23, 2020
Details
- NPI
- 1083223358
- Entity type
- Organization (NPI-2)
- Legal business name
- A Johnson Sparkle LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2020
- Certification date
- Jul 23, 2020
- Last updated
- Jul 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
2305 Cottage PlGreensboro, NC 27455-2910
Phone 336-253-1031
Mailing address
2305 Cottage PlGreensboro, NC 27455-2910
Phone 336-253-1031
Authorized official
Martha Johnson
Owner
3362531031
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