TARA DEMETRIA JOHNSON

PALM BAY, FL
NPI1851883706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: FL  ALF13181)
Enumeration Date2018-06-05
Last Update Date2018-06-05
Business Address
TARA DEMETRIA JOHNSON
226 ABALONE RD NW
PALM BAY, FL 32907-2964
Phone number: 321-480-4052
Mailing Address
TARA DEMETRIA JOHNSON
304 HANFORD RD SW
PALM BAY, FL 32908-1200
Phone number: 321-480-4052