NPI 1639627961

Elcm Johnson City Management 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: Ken Adler
Title: Associate
Phone: (972) 728-8745

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: 1639627961
Entity type: Organization
NPI issued: 15 Sep 2016
Record last updated: 15 Sep 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.