Organization · Type 2 NPI
Johnson Home
Intellectual Disabilities Intermediate Care Facility · Goldthwaite, TX
NPI number
1821133422
Active
Practice location
200 County Rd 112
Goldthwaite, TX 76844
Mailing address
PO Box 27, Cr 112 #200
Goldthwaite, TX 76844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 111856 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Goldthwaite
About NPI 1821133422
Johnson Home's National Provider Identifier is 1821133422, issued on Feb 21, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Goldthwaite, TX. The record was last updated on Aug 22, 2020.