Organization
JOHNSON'S RESIDENTIAL SERVICES, LLC
Active
Other names
Johnson's Residential Support Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDGES A.R JOHNSON (CEO)
(919) 672-9805
Entity
Organization
Contact information
Practice address
1228 DICK HOLEMAN RD, TIMBERLAKE, NC 27583-8874
(919) 672-9805
Mailing address
1228 DICK HOLEMAN RD, TIMBERLAKE, NC 27583-8874
(919) 672-9805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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