Keondra C Johnson
Keondra C Johnson is an Intellectual Disabilities Intermediate Care Facility in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2140 Medical District Dr Apt 2052Dallas, TX 75235-8097
Phone: (214) 695-4955
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1578179750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2020 |
| Last updated in NPPES | September 22, 2020 |
| Certification date | September 22, 2020 |
| Mailing address | 990 Highway 287 N Ste 106, Mansfield, TX 76063-2643 |
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