Individual provider · Type 1 NPI

Lasunea Johnson

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Los Angeles, CA

NPI number 1821861147 Active

Practice location

202 E 108th St
Los Angeles, CA 90061-2504

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X198320207 (CA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1821861147

Lasunea Johnson's National Provider Identifier is 1821861147, issued on Oct 30, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 31, 2023.