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

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XB105114 (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.