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  5. Johnson Community Home
Organization

Johnson Community Home

Intellectual Disabilities Intermediate Care Facility in Alexandria, LA(View on Map)

Legal Business Name

Johnson Community Home

NPI Number

1760641419

NPI Type

Organization

Enumeration Date

06/07/2008

Specialties

(Taxonomies)

Name

Intellectual Disabilities Intermediate Care Facility

Code

315P00000X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

1031

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 7917
1103 LANCASTER DR

City

Alexandria
Alexandria

State

LA
LA

Postal Code

71306-0917
71303-3129

Country

US
US

Telephone Number

(318) 445-1551
(318) 427-1838

Authorized Official

Name

Christina Bolton

Title or Position

ADMINISTRATOR

Telephone Number

(318) 445-1551

Identifiers

Identifier

19G 631

Identifier State

LA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/05/2009

Provider Address

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Organization

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Organization

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Organization

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Organization

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Organization

West Pointe Community Home

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Organization

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Organization

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