Provider Demographics
NPI:1003691254
Name:JOHNSON, SABRIAH ALMARAZIAH
Entity Type:Individual
Prefix:
First Name:SABRIAH
Middle Name:ALMARAZIAH
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2957 GILBERT AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-4752
Mailing Address - Country:US
Mailing Address - Phone:234-650-3525
Mailing Address - Fax:
Practice Address - Street 1:2957 GILBERT AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-4752
Practice Address - Country:US
Practice Address - Phone:234-650-3525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide