Organization
COULSANDER JOHNSON CONCERN GERIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS COULSANSER JOHNSON LVN (LVN)
(562) 230-3354
Entity
Organization
Contact information
Practice address
539 E RHEA ST APT 4, LONG BEACH, CA 90806-5542
(562) 212-6835
Mailing address
2090 MYRTLE AVE, LONG BEACH, CA 90806-4932
(562) 230-3354
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
VN192615
CA
385H00000X
Respite Care
—
—
Other
Enumeration date
05/09/2013
Last updated
12/19/2019
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