Organization · Type 2 NPI
Johnsonville Home LLC
Adult Care Home Facility · Kansas City, KS
NPI number
1952590168
Active
Practice location
2419 N 22nd St
Kansas City, KS 66104-4612
Fax (866) 372-9403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | B105114 (KS) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1952590168
Johnsonville Home LLC's National Provider Identifier is 1952590168, issued on Oct 24, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kansas City, KS. The record was last updated on Oct 24, 2007.