Provider Demographics
NPI:1457760845
Name:SHARON Y JOHNSON & ASSOCIATES
Entity Type:Organization
Organization Name:SHARON Y JOHNSON & ASSOCIATES
Other - Org Name:HATTIES MAE ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:Y
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-607-7693
Mailing Address - Street 1:12706 PARKER LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-5130
Mailing Address - Country:US
Mailing Address - Phone:202-607-7693
Mailing Address - Fax:800-583-4953
Practice Address - Street 1:222 BOATWRIGHT AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1902
Practice Address - Country:US
Practice Address - Phone:804-277-4606
Practice Address - Fax:188-583-4953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care