Organization
CHRISTIANT TABERNACLE HOME AND COMMUNITY SUPPORT SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWEL L JOHNSON (OWNER/ALT ADMINISTRATOR)
(214) 703-3292
Entity
Organization
Contact information
Practice address
4222 ROSEHILL RD, SUITE 14, GARLAND, TX 75043-2503
(214) 703-3292
(214) 703-3293
Mailing address
4222 ROSEHILL RD, SUITE 14, GARLAND, TX 75043-2503
(214) 703-3292
(214) 703-3293
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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