Organization
CHRISTIAN ASSISTED LIVING OF JOHNSON CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY R LEWIS (CHIEF MANAGER)
(423) 975-5455
Entity
Organization
Contact information
Practice address
213 UNIVERSITY PKWY, JOHNSON CITY, TN 37604-7328
(423) 232-5500
(423) 232-5505
Mailing address
2020 NORTHPARK DR STE 2D, JOHNSON CITY, TN 37604-3127
(423) 975-5455
(423) 390-0743
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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