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Ms. Lativia Deanna Johnson
Home Health Agency in Tampa, Florida
NPI 1629209515

Lativia Deanna Johnson is a Home Health Agency based in Fort Meade, FL. Lativia Deanna Johnson practices in Tampa, FL. The NPI Number for Lativia Deanna Johnson is 1629209515 and holds a License No. 230667 (Florida).

The current practice location address for Lativia Deanna Johnson is 1306 E Annie St, Tampa, FL and can be reached out via phone at 863-440-2662 and via fax at 813-982-2039.

Location: 1306 E Annie St, Tampa, FL, 33841-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629209515
Provider Name
Lativia Deanna Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1306 E Annie St, Tampa, FL, 33841-1003
Phone Number
863-440-2662
Fax Number
813-982-2039
Provider Enumeration Date
07/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000166600 05 FL
000166601 05 FL
institution
Provider Business Practice Location Address Details
Address
1306 E Annie St
City
Tampa
State
Florida
Zip
33612-8746
Phone Number
863-440-2662
Fax Number
813-982-2039
person
Provider Business Mailing Address Details
Address
1306 E Annie St
City
Tampa
State
Florida
Zip
33612-8746
Phone Number
863-440-2662
Fax Number
813-982-2039
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
230667 (Florida)
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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