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Kissy L Johnson
Home Health Agency in Jennings, Missouri
NPI 1770191728

Kissy L Johnson is a Home Health Agency based in Jennings, MO. Kissy L Johnson practices in Jennings, MO. The NPI Number for Kissy L Johnson is 1770191728 and holds a License No. (Missouri).

The current practice location address for Kissy L Johnson is 7045 Idlewild Ave, Jennings, MO and can be reached out via phone at 314-737-1141.

Location: 7045 Idlewild Ave, Jennings, MO, 63136-1040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770191728
Provider Name
Kissy L Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
7045 Idlewild Ave, Jennings, MO, 63136-1040
Phone Number
314-737-1141
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7045 Idlewild Ave
City
Jennings
State
Missouri
Zip
63136-1040
Phone Number
314-737-1141
Fax Number
person
Provider Business Mailing Address Details
Address
7045 Idlewild Ave
City
Jennings
State
Missouri
Zip
63136-1040
Phone Number
314-737-1141
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
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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