Individual provider · Type 1 NPI

Dominique Johnson

Assisted Living Facility · Dallas, TX

NPI number 1235646902 Active

Practice location

6005 Park Manor Dr
Dallas, TX 75241-5241

Call (972) 277-7517 Map

Mailing address

3655 Simpson Stuart Rd Unit 411123
Dallas, TX 75241-4377

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1235646902

Dominique Johnson's National Provider Identifier is 1235646902, issued on Jan 4, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Dallas, TX. The record was last updated on Mar 6, 2023.