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Violet Johnson
Adult Care Home Facility in Indianapolis, Indiana
NPI 1629513700

Violet Johnson is an Adult Care Home Facility based in Indianapolis, IN and is specialized in Adult Care Home. Violet Johnson practices in Indianapolis, IN. The NPI Number for Violet Johnson is 1629513700 and holds a License No. (Indiana).

The current practice location address for Violet Johnson is 3213 N Riley Ave, Indianapolis, IN and can be reached out via phone at 317-602-2061.

Location: 3213 N Riley Ave, Indianapolis, IN, 46218-2350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629513700
Provider Name
Violet Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3213 N Riley Ave, Indianapolis, IN, 46218-2350
Phone Number
317-602-2061
Fax Number
Provider Enumeration Date
12/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3213 N Riley Ave
City
Indianapolis
State
Indiana
Zip
46218-2350
Phone Number
317-602-2061
Fax Number
person
Provider Business Mailing Address Details
Address
3213 N Riley Ave
City
Indianapolis
State
Indiana
Zip
46218-2350
Phone Number
317-602-2061
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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