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Tonya Alicia Johnson
Adult Care Home Facility in Reddick, Florida
NPI 1790213627

Tonya Alicia Johnson is an Adult Care Home Facility based in Reddick, FL and is specialized in Adult Care Home. Tonya Alicia Johnson practices in Reddick, FL. The NPI Number for Tonya Alicia Johnson is 1790213627 and holds a License No. (Florida).

The current practice location address for Tonya Alicia Johnson is 15260 Nw 29Th Ter, Reddick, FL and can be reached out via phone at 352-857-4223.

Location: 15260 Nw 29Th Ter, Reddick, FL, 32686-3332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790213627
Provider Name
Tonya Alicia Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
15260 Nw 29Th Ter, Reddick, FL, 32686-3332
Phone Number
352-857-4223
Fax Number
Provider Enumeration Date
05/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15260 Nw 29Th Ter
City
Reddick
State
Florida
Zip
32686-3332
Phone Number
352-857-4223
Fax Number
person
Provider Business Mailing Address Details
Address
15260 Nw 29Th Ter
City
Reddick
State
Florida
Zip
32686-3332
Phone Number
352-857-4223
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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