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Jeannette Johnson-Haynes

Home Health in Spartanburg, SC. Individual provider (NPI-1).

NPI number1336724327
StatusActive
Last updated in NPPESMar 22, 2021

Details

NPI
1336724327
Entity type
Individual (NPI-1)
Name
Jeannette Johnson-Haynes
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 11, 2021
Certification date
Mar 22, 2021
Last updated
Mar 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–SCYes

Practice location

5220 Pogue St
Spartanburg, SC 29301-3415

Phone 864-621-1104

Mailing address

Po Box 6505
Spartanburg, SC 29304-6505

Phone 843-598-1929

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