Johnsonville Home LLC
NPI #1952590168 in Kansas City, Kansas
Provider Information
- NPI Number
- 1952590168
- Entity Type
- Organization
- Organization Name
- Johnsonville Home LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 24, 2007
- Last Updated
- Oct 24, 2007
Practice Location
- Address
- 2419 N 22ND ST
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66104-4612
- Phone
- (913) 371-3995
Authorized Official
- Name
- MS. TIFFANY L JOHNSON
- Title
- OPERATOR
- Phone
- (913) 371-3995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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