Organization · Type 2 NPI

Johnson Home Assisted Living, Inc.

Assisted Living Facility (Mental Illness) · Pueblo, CO

NPI number 1447615968 Active

Practice location

403 W 13th St
Pueblo, CO 81003-2748

Call (719) 543-0306 Map

Fax (719) 562-9684

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625X230602 (CO)

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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About NPI 1447615968

Johnson Home Assisted Living, Inc.'s National Provider Identifier is 1447615968, issued on Dec 28, 2015. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Pueblo, CO. The record was last updated on Dec 29, 2015.