| Organization Name: | JOHNSON LIFE CARE, INC |
| NPI Number: | 1619933470 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARREL VANOVER (OWNER) |
| Mailing Address: | 310 West Main Street Lynch |
| State: | KY US |
| Postal Code: | 40855 |
| Phone Number: | 6068482861 |
| Fax Number: | 6068482409 |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 11/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1609 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |