Organization
AN ANGEL'S TOUCH HCS INC
Active
Other names
NEDRA JOHNSON
Organization subpart
No
Provider details
NPI number
Authorized official
NERDRA JOHNSON (CEO)
(214) 280-0379
Entity
Organization
Contact information
Practice address
5409 N JIM MILLER RD STE 213, DALLAS, TX 75227-1523
(214) 280-0379
(214) 280-0379
Mailing address
5409 N JIM MILLER RD STE 213, DALLAS, TX 75227-1523
(214) 280-0379
(214) 817-2571
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251T00000X
PACE Provider Organization
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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