De Von Johnson is a Homemaker based in Las Vegas, NV. De Von Johnson practices in Las Vegas, NV. The NPI Number for De Von Johnson is 1396481297 and holds a License No. (Nevada).
The current practice location address for De Von Johnson is 9125 Fish Tail Ave Unit 103, Las Vegas, NV and can be reached out via phone at 702-955-1774.
Location: 9125 Fish Tail Ave Unit 103, Las Vegas, NV, 89149-3168
Provider Profile Details
NPI Number
1396481297
Provider Name
De Von Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
9125 Fish Tail Ave Unit 103, Las Vegas, NV, 89149-3168
Phone Number
702-955-1774
Fax Number
Provider Enumeration Date
05/12/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
9125 Fish Tail Ave Unit 103
City
State
Zip
89149-3168
Phone Number
702-955-1774
Fax Number
Provider Business Mailing Address Details
Address
9125 Fish Tail Ave Unit 103
City
State
Zip
89149-3168
Phone Number
702-955-1774
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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