Shellise Johnson
Shellise Johnson is an Assisted Living Facility in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2021
Practice location Address checks out
1703 E 29th StBaltimore, MD 21218-3745
Phone: (443) 869-6882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 30AL3875 (MD) |
|---|
Record details
| NPI number | 1023608049 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2021 |
| Last updated in NPPES | January 23, 2021 |
| Certification date | January 23, 2021 |
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