Michelle Lynn Johnson
Clinic/Center, Adult Day Care in Ocala, FL. Individual provider (NPI-1).
NPI number1659986321
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1659986321
- Entity type
- Individual (NPI-1)
- Name
- Michelle Lynn Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2020
- Certification date
- Sep 9, 2020
- Last updated
- Sep 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Practice location
576 Bahia Cir Apt AOcala, FL 34472-2267
Phone 352-426-2034
Mailing address
576 Bahia Cir Apt AOcala, FL 34472-2267
Phone 352-426-2034
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