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Eddie Johnson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lone Star, Texas
NPI 1134630957

Eddie Johnson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Lone Star, TX. Eddie Johnson practices in Lone Star, TX. The NPI Number for Eddie Johnson is 1134630957 and holds a License No. (Texas).

The current practice location address for Eddie Johnson is 338 Bond St, Lone Star, TX and can be reached out via phone at 903-646-3171 and via fax at 903-646-0512.

Location: 338 Bond St, Lone Star, TX, 75668-0124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134630957
Provider Name
Eddie Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
338 Bond St, Lone Star, TX, 75668-0124
Phone Number
903-646-3171
Fax Number
903-646-0512
Provider Enumeration Date
10/19/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
338 Bond St
City
Lone Star
State
Texas
Zip
75668-0230
Phone Number
903-646-3171
Fax Number
903-646-0512
person
Provider Business Mailing Address Details
Address
338 Bond St
City
Lone Star
State
Texas
Zip
75668-0230
Phone Number
903-646-3171
Fax Number
903-646-0512
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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