Organization
JOHNSON SUPPORTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CAMPBELL (PRES.)
(931) 815-3871
Entity
Organization
Contact information
Practice address
348 FRANK MARTIN RD, SHELBYVILLE, TN 37160-7145
(931) 815-3871
(931) 815-3876
Mailing address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
(931) 815-3876
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3159
TN
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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