Raven Johnson
Raven Johnson is an Adult Companion in Orlando, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
3264 Split Willow DrOrlando, FL 32808-3735
Phone: (321) 946-4900
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Adult Companion | Taxonomy 372600000X |
| Attendant Care Provider | Taxonomy 3747A0650X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1831837251 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 25, 2022 |
| Last updated in NPPES | February 26, 2024 |
| Certification date | February 26, 2024 |
| Mailing address | 3264 Split Willow Dr, Orlando, FL 32808-3735 |
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