Organization
JOHNSON'S PERSONAL CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASHANDA TAMIKA JOHNSON CNA (OWNER)
(229) 246-2420
Entity
Organization
Contact information
Practice address
1007 HALL ST, BAINBRIDGE, GA 39819-4693
(229) 246-2420
(246) 246-2424
Mailing address
1007 HALL ST, BAINBRIDGE, GA 39819-4693
(229) 246-2420
(246) 246-2424
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
GA
Other
Enumeration date
12/20/2006
Last updated
08/28/2007
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