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NEDRA JOHNSON
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI: 1265941512Individual
Specialties, Licenses & Credentials
Day Training, Developmentally Disabled Services
Code: 251C00000X
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Code: 251T00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Contact & Hours
- Address
- 5409 N JIM MILLER RD STE 211
DALLAS, TX 75227 - Phone
- (214) 280-0379
Quick Facts
- NPI
- 1265941512
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 15
- Locations
- 1
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