Coulsander Johnson Concern Geriatric Care
Coulsander Johnson Concern Geriatric Care is a PACE Provider Organization in Long Beach, California. Works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 4
Practice location Address checks out
539 E Rhea St Apt 4Long Beach, CA 90806-5542
Phone: (562) 212-6835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2507 E 15th St Unit 118, Long Beach, CA 90804-1471 — (562) 230-3354
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| PACE Provider Organization | Taxonomy 251T00000X |
| Adult Care Home Facility | Taxonomy 311ZA0620X · Licence VN192615 (CA) |
| Respite Care | Taxonomy 385H00000X |
Record details
| NPI number | 1033554514 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Coulsanser Johnson — Lvn · (562) 230-3354 |
| NPI enumerated | May 9, 2013 |
| Last updated in NPPES | December 19, 2019 |
| Certification date | December 19, 2019 |
| Mailing address | 2090 Myrtle Ave, Long Beach, CA 90806-4932 |
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