Johnson Custodial Home, Inc.

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NPI Provider: 1407853823
Contact Name: Killian L Cheryl
Position: President
Phone: (817) 654-3042

Johnson Custodial Home, Inc. Information:

Johnson Custodial Home, Inc. organization have npi 1407853823, taxonomy code is 313M00000X with license number is 111923 in . This Business address located in 3801 Woodside Dr, Arlington, TX 76016 Texas. Get directions of Johnson Custodial Home, Inc..

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Practice Location
Address: 3406 E 17th St, Austin, TX 78721
Phone: (512) 926-4760

Business Location

Address: 3801 Woodside Dr, Arlington, TX 76016

Phone: (817) 654-3042

Fax: (817) 446-3666

Taxonomy

Taxonomy Code: 313M00000X

License Number: 111923

License Number of State: TX

Primary Taxonomy Switch: Y

Enumeration Date: 6/30/2005

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