ELCM JOHNSON CITY LEASING LLC NPI 1366998718

NPI Information

ELCM JOHNSON CITY LEASING LLC is an adult care home custodial care facility in Johnson City, TN. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ELCM JOHNSON CITY LEASING LLC NPI is 1366998718. The provider is registered as an organization entity type.

The provider's business location address is:

2111 E LAKEVIEW DR
JOHNSON CITY, TN
ZIP 37601-890
Phone: (423) 926-1292

The provider's authorized official is Paul Boethel .
The authorized official title is Principal and has the following contact phone number (214) 535-6071.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 8/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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