MRS. JETTIE JOHNSON

In Home Supportive Care

Active Individual
NPI: 1649573817

Practice Address

2736 ROTHE LN
Cumberland, IN 46229

Phone: (317) 454-3930

Specialties

Specialty Code Primary License
In Home Supportive Care 253Z00000X Yes 10-012295-1 (IN)

Frequently Asked Questions

NPI 1649573817 is the National Provider Identifier for MRS. JETTIE JOHNSON, a In Home Supportive Care provider located in Cumberland, IN. This NPI was enumerated on December 10, 2010.
MRS. JETTIE JOHNSON practices at 2736 ROTHE LN, Cumberland, IN 46229.

Quick Facts

NPI
1649573817
Type
Individual
Enumerated
Dec 10, 2010
Last Updated
Dec 10, 2010

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