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Organization

MALONE HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DONNA JOHNSON MINISTER (ADMINISTRATOR)
(325) 617-7467
Entity
Organization

Contact information

Practice address
113 N MALONE ST, SAN ANGELO, TX 76903-5538
(325) 617-7467
(325) 617-7467
Mailing address
113 N MALONE ST, SAN ANGELO, TX 76903-5538
(325) 617-7467
(325) 617-7467

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
02/14/2013
Last updated
02/14/2013
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