NPI 1366998718

Elcm Johnson City Leasing LLC

Organisation Adult Care Home Facility Johnson City, TN

Practice location

Address: 2111 E Lakeview Dr, Johnson City, TN 37601-1890
Phone: (423) 926-1292
Mailing address: 14241 Dallas Pkwy Suite 650, Building 3, Dallas, TX 75254-2936

Authorised official

Name: Paul Boethel
Title: Principal
Phone: (214) 535-6071

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence ACL0000000376 (TN)

Other Custodial Care Facility providers in Tennessee →

Registry record

NPI: 1366998718
Entity type: Organization
NPI issued: 26 Aug 2016
Record last updated: 26 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.