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Rodney Jamar Johnson, RN
Assisted Living Facility in Surprise, Arizona
NPI 1134617046

Rodney Jamar Johnson is an Assisted Living Facility based in Surprise, AZ. Rodney Jamar Johnson practices in Surprise, AZ and has the professional credentials of RN. The NPI Number for Rodney Jamar Johnson is 1134617046 and holds a License No. AL10660H (Arizona).

The current practice location address for Rodney Jamar Johnson is 14384 W Maui Ln, Surprise, AZ and can be reached out via phone at 623-556-9009.

Location: 14384 W Maui Ln, Surprise, AZ, 85379-8529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134617046
Provider Name
Rodney Jamar Johnson
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
14384 W Maui Ln, Surprise, AZ, 85379-8529
Phone Number
623-556-9009
Fax Number
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
360398 05 AZ
institution
Provider Business Practice Location Address Details
Address
14384 W Maui Ln
City
Surprise
State
Arizona
Zip
85379-8529
Phone Number
623-556-9009
Fax Number
person
Provider Business Mailing Address Details
Address
14384 W Maui Ln
City
Surprise
State
Arizona
Zip
85379-8529
Phone Number
623-556-9009
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL10660H (Arizona)
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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