Organization Name: | JOHNSONS ENTERPRISES INC. |
NPI Number: | 1053609297 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD D. JOHNSON (SECRETARY/CEO) |
Mailing Address: | 118 Centre On The Lk Lake St Louis |
State: | MO US |
Postal Code: | 633671369 |
Phone Number: | 6366953140 |
Fax Number: | 6366253611 |
NPI Enumeration Date: | 07/20/2011 |
NPI Last Update Date: | 07/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |