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Organization
SUSAN BRUCE JOHNSON
Active
Organization
SUSAN BRUCE JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BRUCE JOHNSON (ADULT FOSTER CARE PROVIDER)
(806) 886-5244
Entity
Organization
Contact information
Practice address
8650 HIGHWAY 136, BORGER, TX 79007
(806) 886-5244
(806) 275-5912
Mailing address
PO BOX 1556, 8650 HIGHWAY 136, BORGER, TX 79008-1556
(806) 886-5244
(806) 275-5912
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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