JOHNSON HOME ASSISTED LIVING INC. NPI 1447615968

NPI Information

JOHNSON HOME ASSISTED LIVING, INC. is an assisted living and mental illness assisted living facility in Pueblo, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. JOHNSON HOME ASSISTED LIVING, INC. NPI is 1447615968. The provider is registered as an organization entity type.

The provider's business location address is:

403 W 13TH ST
PUEBLO, CO
ZIP 81003-748
Phone: (719) 543-0306
Fax: (719) 562-9684

The provider's authorized official is Paul Spicola .
The authorized official title is Vice-president and has the following contact phone number (719) 369-4567.

The enumeration date for this NPI number is 12/28/2015 and was last updated on 12/29/2015.

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:

Other Identifiers

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