Johnson's Personal Care Home, Inc.

NPI #1972667400 in Bainbridge, Georgia

Provider Information

NPI Number
1972667400
Entity Type
Organization
Organization Name
Johnson's Personal Care Home, Inc.
Primary Specialty
Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date
Dec 20, 2006
Last Updated
Aug 28, 2007

Practice Location

Address
1007 HALL ST
State
Georgia
ZIP Code
39819-4693
Phone
(229) 246-2420

Authorized Official

Name
MS. LASHANDA TAMIKA JOHNSON, CNA
Title
OWNER
Phone
(229) 246-2420

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility - Assisted Living, Mental IllnessAssisted Living, Mental Illness

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