Individual provider · NPI-1

Ebony Johnson

Home Health Aide · Aiken, SC

NPI number1356804546
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1356804546
Entity type
Individual (NPI-1)
Name
Ebony Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 13, 2019
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

942 C Dougherty Rd
Aiken, SC 29803

Phone 803-226-3920

Mailing address

180 Midway Cir
Aiken, SC 29803-6997

Phone 803-226-3920 · Fax 864-484-8561

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