| NPI | 1316302664 |
|---|---|
| Doing Business As | JOHNSON HOME ASSISTED LIVING, INC. |
| Entity Type | Organization |
| Authorized Contact | PAUL SPICOLA Vice President 719-369-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: CO 230602) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |