IndividualActive
Tonya Johnson
NPI 1790213627 · Adult Care Home Facility · Reddick, FL
Provider details
- NPI number
- 1790213627
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
15260 Nw 29th Ter
Reddick, FL 32686-3332
Phone: (352) 857-4223
Approximate (ZIP-level) locationGet directions
Mailing address
15260 Nw 29th Ter
Reddick, FL 32686-3332
Registry dates
- Enumerated
- 2017-05-23
- Last updated
- 2022-07-21
- Certified
- 2022-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.