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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..
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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