Jalisa Johnson is a Home Health Agency based in Lake, MS. Jalisa Johnson practices in Lake, MS. The NPI Number for Jalisa Johnson is 1285340703 and holds a License No. (Mississippi).
The current practice location address for Jalisa Johnson is 249 Johnsontown Rd, Lake, MS and can be reached out via phone at 769-274-1148.
Location: 249 Johnsontown Rd, Lake, MS, 39092-9563
Provider Profile Details
NPI Number
1285340703
Provider Name
Jalisa Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
249 Johnsontown Rd, Lake, MS, 39092-9563
Phone Number
769-274-1148
Fax Number
Provider Enumeration Date
01/27/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
249 Johnsontown Rd
City
State
Zip
39092-3909
Phone Number
769-274-1148
Fax Number
Provider Business Mailing Address Details
Address
249 Johnsontown Rd
City
State
Zip
39092-3909
Phone Number
769-274-1148
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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