Organization
TDAF,LLC
Active
Other names
JOHNSON HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE ALLEN JOHNSON LNFA, LBSW (MANAGER/PRESIDENT)
(432) 413-1425
Entity
Organization
Contact information
Practice address
210 COUNTY ROAD 112, GOLDTHWAITE, TX 76844-3701
(325) 985-3544
(325) 985-3575
Mailing address
PO BOX 27, GOLDTHWAITE, TX 76844-0027
(325) 985-3544
(325) 985-3575
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
04/02/2010
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