SearchTexasIntellectual and/or Developmental Disabilities Residential Treatment Facility

Eddie Johnson

NPI 1134630957 · on the registry since 2017 · sole proprietor

Practice

Address
338 Bond St
Lone Star, TX 75668
Phone
(903) 646-3171
Fax
(903) 646-0512
Organisation at this address
Eddie'S Reaching Out Residential Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Sex
Male
Record last updated
2017-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas