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Katrina M Johnson
In Home Supportive Care Agency in Jacksonville, Florida
NPI 1063970358

Katrina M Johnson is a In Home Supportive Care Agency based in Jacksonville, FL. Katrina M Johnson practices in Jacksonville, FL. The NPI Number for Katrina M Johnson is 1063970358 and holds a License No. (Florida).

The current practice location address for Katrina M Johnson is 10225 Magnolia Ridge Dr, Jacksonville, FL and can be reached out via phone at 904-923-3505.

Location: 10225 Magnolia Ridge Dr, Jacksonville, FL, 32210-4991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063970358
Provider Name
Katrina M Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
10225 Magnolia Ridge Dr, Jacksonville, FL, 32210-4991
Phone Number
904-923-3505
Fax Number
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100716400 05 FL
institution
Provider Business Practice Location Address Details
Address
10225 Magnolia Ridge Dr
City
Jacksonville
State
Florida
Zip
32210-4991
Phone Number
904-923-3505
Fax Number
person
Provider Business Mailing Address Details
Address
10225 Magnolia Ridge Dr
City
Jacksonville
State
Florida
Zip
32210-4991
Phone Number
904-923-3505
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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