| NPI | 1003273053 |
|---|---|
| Doing Business As | JOHNSON ASSISTED LIVING HOME, INC. |
| Entity Type | Organization |
| Authorized Contact | PAUL SPICOLA Vice President 719-369-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23W276) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |