KEITH JOHNSON

PHILADELPHIA, PA
NPI1992584320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: PA  55133601)
Enumeration Date2023-09-25
Last Update Date2023-09-25
Business Address
Mr. KEITH JOHNSON
4946 PARKSIDE AVE STE 106
PHILADELPHIA, PA 19131-4746
Phone number: 267-603-4989
Mailing Address
Mr. KEITH JOHNSON
7935 TEMPLE RD
PHILADELPHIA, PA 19150-2115
Phone number: 215-740-8854