MRS. KATRENA JOHNSON, SUPPORTED LIVING COA

Contractor

Active Individual
NPI: 1396755773

Practice Address

4500 CRUSADERS WAY
Greenwood, FL 32443

Phone: (850) 209-0195

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1396755773 is the National Provider Identifier for MRS. KATRENA JOHNSON, SUPPORTED LIVING COA, a Contractor provider located in Greenwood, FL. This NPI was enumerated on August 9, 2006.
MRS. KATRENA JOHNSON, SUPPORTED LIVING COA practices at 4500 CRUSADERS WAY, Greenwood, FL 32443.

Quick Facts

NPI
1396755773
Type
Individual
Enumerated
Aug 9, 2006
Last Updated
Jul 8, 2007

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