NPI 1629513700

Violet Johnson

Practitioner Adult Care Home Facility Indianapolis, IN

Practice location

Address: 3213 N Riley Ave, Indianapolis, IN 46218-2350
Phone: (317) 602-2061

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1629513700
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2016
Record last updated: 28 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.