MEDICARE: JOHNSON HAND CONTROLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1356174593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON HAND CONTROLS

Provider Business Mailing Address
First Line	:	789 LEFFLER CT # 10
Second Line	:
City	:	COLUMBIA
State	:	PA
Zip	:	17512-9501
Country	:	US
Telephone Number	:	717-449-0089
Fax Number	:

Provider Business Practice Location Address
First Line	:	789 LEFFLER CT # 10
Second Line	:
City	:	COLUMBIA
State	:	PA
Zip	:	17512-9501
Country	:	US
Telephone Number	:	717-449-0089
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	WESLEY JOHNSON
Credential	:
Telephone Number	:	717-449-0089

Provider Enumeration Date	:	08/22/2024
Last Update Date	:	08/22/2024

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Directions to “JOHNSON HAND CONTROLS ” Practice Location

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