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Charles Lee Johnson SR.
Attendant Care Provider in Dayton, Ohio
NPI 1518522796

Charles Lee Johnson SR. is an Attendant Care Provider based in Dayton, OH and is specialized in Attendant Care Provider. Charles Lee Johnson SR. practices in Dayton, OH. The NPI Number for Charles Lee Johnson SR. is 1518522796 and holds a License No. (Ohio).

The current practice location address for Charles Lee Johnson SR. is 2010 Parkhill Dr, Dayton, OH and can be reached out via phone at 937-559-2669 and via fax at 937-723-7435. You can also correspond with Charles Lee Johnson SR. through the mailing address at 2010 PARKHILL DR, DAYTON, OH - 45406-2716 (mailing address contact number: 937-559-2669).

Location: 2010 Parkhill Dr, Dayton, OH, 45406-2716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518522796
Provider Name
Charles Lee Johnson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2010 Parkhill Dr, Dayton, OH, 45406-2716
Phone Number
937-559-2669
Fax Number
937-723-7435
Provider Enumeration Date
05/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2010 Parkhill Dr
City
Dayton
State
Ohio
Zip
45406-2716
Phone Number
937-559-2669
Fax Number
937-723-7435
person
Provider Business Mailing Address Details
Address
2010 Parkhill Dr
City
Dayton
State
Ohio
Zip
45406-2716
Phone Number
937-559-2669
Fax Number
937-723-7435
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
(Ohio)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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