location
search-icon
person
Keondra C Johnson
Intellectual Disabilities Intermediate Care Facility in Dallas, Texas
NPI 1578179750

Keondra C Johnson is a Intellectual Disabilities Intermediate Care Facility based in Mansfield, TX. Keondra C Johnson practices in Dallas, TX. The NPI Number for Keondra C Johnson is 1578179750 and holds a License No. (Texas).

The current practice location address for Keondra C Johnson is 2140 Medical District Dr Apt 2052, Dallas, TX and can be reached out via phone at 214-695-4955.

Location: 2140 Medical District Dr Apt 2052, Dallas, TX, 76063-2643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578179750
Provider Name
Keondra C Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2140 Medical District Dr Apt 2052, Dallas, TX, 76063-2643
Phone Number
214-695-4955
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2140 Medical District Dr Apt 2052
City
Dallas
State
Texas
Zip
75235-8097
Phone Number
214-695-4955
Fax Number
person
Provider Business Mailing Address Details
Address
2140 Medical District Dr Apt 2052
City
Dallas
State
Texas
Zip
75235-8097
Phone Number
214-695-4955
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.