institution
Johnson Home
Intellectual Disabilities Intermediate Care Facility in Goldthwaite, Texas
NPI 1821133422

Johnson Home is a Intellectual Disabilities Intermediate Care Facility based in Goldthwaite, TX. Johnson Home practices in Goldthwaite, TX. The NPI Number for Johnson Home is 1821133422 and holds a License No. 111856 (Texas).

The current practice location address for Johnson Home is 200 County Rd 112, Goldthwaite, TX and can be reached out via phone at 325-985-3544.

Location: 200 County Rd 112, Goldthwaite, TX, 76844
institution
Provider Profile Details
NPI Number
1821133422
Provider Name
Johnson Home
Credential
Provider Entity Type
Organization
Address
200 County Rd 112, Goldthwaite, TX, 76844
Phone Number
325-985-3544
Fax Number
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111856 01 TX LICENSE NUMBER
45H187 01 TX FACILITY ID
24545017170001 01 TX TID
institution
Provider Business Practice Location Address Details
Address
200 County Rd 112
City
State
Zip
76844
Phone Number
325-985-3544
Fax Number
person
Provider Business Mailing Address Details
Address
200 County Rd 112
City
State
Zip
76844
Phone Number
325-985-3544
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
111856 (Texas)
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.
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