Tara Demetria Johnson
Tara Demetria Johnson is an Assisted Living Facility in Palm Bay, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2018
Practice location Address checks out
226 Abalone Rd NWPalm Bay, FL 32907-2964
Phone: (321) 480-4052
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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 ALF13181 (FL) |
|---|
Record details
| NPI number | 1851883706 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2018 |
| Last updated in NPPES | June 5, 2018 |
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