Organization
JOHNSON GROUP HOME, L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDI S. JOHNSON (SERVICE DIRECTOR, OWNER)
(434) 660-7496
Entity
Organization
Contact information
Practice address
449 ARRINGTON DR, EVINGTON, VA 24550-2446
(434) 660-7496
(434) 818-0940
Mailing address
449 ARRINGTON DR, EVINGTON, VA 24550-2446
(434) 660-7496
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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