Violet Johnson
NPI #1629513700 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1629513700
- Entity Type
- Individual
- Name
- Violet Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Dec 28, 2016
- Last Updated
- Dec 28, 2016
Practice Location
- Address
- 3213 N RILEY AVE
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46218-2350
- Phone
- (317) 602-2061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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