| NPI | 1043634074 |
|---|---|
| Doing Business As | AMY JOHNSON RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | DONETTA JOHNSON President 651-224-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 362443) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |