NPI
Traditional Community Living
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2012-03-29
- Last updated
- 2012-03-29
Specialties
Licenses
- License DE
- 20120227152
Location
- Practice location
- 8367 Brick Granary Road
- City
- Lincoln DE
- Postal code
- 19960
- Phone
- (302) 424-0907
Organization contact
- Name
- KIMBERLY JOHNSON
- Title
- owner
- Phone
- 3024240907
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Lincoln, DE. 30 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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