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Mr. Alvin Edward Johnson, B/SCRIMINALJUSTICE
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, Kansas
NPI 1457655623

Alvin Edward Johnson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kansas City, KS. Alvin Edward Johnson practices in Kansas City, KS and has the professional credentials of B/SCRIMINALJUSTICE. The NPI Number for Alvin Edward Johnson is 1457655623 and holds a License No. (Kansas).

The current practice location address for Alvin Edward Johnson is 9003 Barnett Ave., Kansas City, KS and can be reached out via phone at 913-486-0472.

Location: 9003 Barnett Ave., Kansas City, KS, 66112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457655623
Provider Name
Alvin Edward Johnson
Credential
B/SCRIMINALJUSTICE
Provider Entity Type
Individual
Gender
Male
Address
9003 Barnett Ave., Kansas City, KS, 66112
Phone Number
913-486-0472
Fax Number
Provider Enumeration Date
01/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9003 Barnett Ave.
City
Kansas City
State
Kansas
Zip
66112
Phone Number
913-486-0472
Fax Number
person
Provider Business Mailing Address Details
Address
9003 Barnett Ave.
City
Kansas City
State
Kansas
Zip
66112
Phone Number
913-486-0472
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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