Johnson Custodial Home, Inc.

NPI #1407853823 in Austin, Texas

Provider Information

NPI Number
1407853823
Entity Type
Organization
Organization Name
Johnson Custodial Home, Inc.
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Jun 30, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
3406 E 17TH ST
City
Austin
State
Texas
ZIP Code
78721-1106
Phone
(512) 926-4760

Authorized Official

Name
CHERYL L KILLIAN
Title
PRESIDENT
Phone
(817) 654-3042

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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