person
Shellise Johnson
Assisted Living Facility in Baltimore, Maryland
NPI 1023608049

Shellise Johnson is an Assisted Living Facility based in Middle River, MD. Shellise Johnson practices in Baltimore, MD. The NPI Number for Shellise Johnson is 1023608049 and holds a License No. 30AL3875 (Maryland).

The current practice location address for Shellise Johnson is 1703 E 29Th St, Baltimore, MD and can be reached out via phone at 443-869-6882.

Location: 1703 E 29Th St, Baltimore, MD, 21220-3794
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Provider Profile Details
NPI Number
1023608049
Provider Name
Shellise Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1703 E 29Th St, Baltimore, MD, 21220-3794
Phone Number
443-869-6882
Fax Number
Provider Enumeration Date
01/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1703 E 29Th St
City
State
Zip
21218-3745
Phone Number
443-869-6882
Fax Number
person
Provider Business Mailing Address Details
Address
1703 E 29Th St
City
State
Zip
21218-3745
Phone Number
443-869-6882
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
30AL3875 (Maryland)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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