Donna Johnson

Individual provider Active NPI Personal Care Attendant · Huntsburg, OH

NPI 1659979771 · NPPES record last updated Oct 12, 2020

Key facts

NPI
1659979771
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
13300 Old State Rd
Huntsburg, OH 44046-8715
Phone
(440) 477-0851
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

13300 Old State Rd
Huntsburg, OH 44046-8715

Mailing address

13300 Old State Rd
Huntsburg, OH 44046-8715
Phone (440) 477-0851

Other providers in Huntsburg, OH

All providers in Huntsburg, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.