Individual provider · Type 1 NPI
Eddie Johnson
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lone Star, TX
Practice location
338 Bond St
Lone Star, TX 75668-0230
Fax (903) 646-0512
Mailing address
PO Box 124
Lone Star, TX 75668-0124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.
Another provider at this address
About NPI 1134630957
Eddie Johnson's National Provider Identifier is 1134630957, issued on Oct 19, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Lone Star, TX. The record was last updated on Oct 19, 2017.