institution
Johnson Community Home
Intellectual Disabilities Intermediate Care Facility in Alexandria, Louisiana
NPI 1760641419

Johnson Community Home is a Intellectual Disabilities Intermediate Care Facility based in Alexandria, LA. Johnson Community Home practices in Alexandria, LA. The NPI Number for Johnson Community Home is 1760641419 and holds a License No. 1031 (Louisiana).

The current practice location address for Johnson Community Home is 1103 Lancaster Dr, Alexandria, LA and can be reached out via phone at 318-427-1838 and via fax at 318-427-1879.

Location: 1103 Lancaster Dr, Alexandria, LA, 71306-0917
institution
Provider Profile Details
NPI Number
1760641419
Provider Name
Johnson Community Home
Credential
Provider Entity Type
Organization
Address
1103 Lancaster Dr, Alexandria, LA, 71306-0917
Phone Number
318-427-1838
Fax Number
318-427-1879
Provider Enumeration Date
06/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19G 631 05 LA
institution
Provider Business Practice Location Address Details
Address
1103 Lancaster Dr
City
State
Zip
71303-3129
Phone Number
318-427-1838
Fax Number
318-427-1879
person
Provider Business Mailing Address Details
Address
1103 Lancaster Dr
City
State
Zip
71303-3129
Phone Number
318-427-1838
Fax Number
318-427-1879
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
1031 (Louisiana)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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