MS. Beverly Ann Johnson, ADMINISTRATOR
NPI #1043578164 in Durham, North Carolina
Provider Information
- NPI Number
- 1043578164
- Entity Type
- Individual
- Name
- MS. Beverly Ann Johnson, ADMINISTRATOR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Credential
- ADMINISTRATOR
- Enumeration Date
- Apr 26, 2012
- Last Updated
- Feb 8, 2021
Practice Location
- Address
- 5304 YAROLEY TER.
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27707
- Phone
- (919) 937-9997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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Organizations
| Provider Name | |
|---|---|
| Extended Care of the Triad LLC |
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