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NPI 1548568363

NPI 1548568363 : JOHNSON & JOHNSON HOME HEALTH CARE, LLC : WINSTON SALEM, NC

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General NPI Number Information
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    NPI Number           |    1548568363
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHNSON & JOHNSON HOME HEALTH CARE, LLC 
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Dates
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    Enumeration Date     |    03/02/2011
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    Last Update Date     |    06/09/2011
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Provider Practice Location Address
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    Address Line         |    1745 BURTON ST 
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    City                 |    WINSTON SALEM
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    State                |    NC
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    Zip                  |    27105-5083
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    Country              |    US
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    Telephone            |    336-997-4444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2551 GREEN OAKS CT APT A 
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    City                 |    WINSTON SALEM
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    State                |    NC
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    Zip                  |    27107-5577
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    Country              |    US
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    Telephone            |    336-997-4444
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MISS ASHLEY  JOHNSON 
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    Credential           |    
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    Telephone            |    336-997-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    HC4371
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    License Number State |    NC
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