JOHNSON CUSTODIAL HOME, INC.
Nursing at 17 St, Austin, TX

License number
Texas 111923
Category
Nursing
Type
Nursing Facility/Intermediate Care Facility
Owner
Name: CHERYL L KILLIAN
Title: PRESIDENT
Phone: (817) 654-3042
Address
Address 2
3406 E 17Th St, Austin, TX 78721
3801 Woodside Dr, Arlington, TX 76016
National Provider ID: 1407853823
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHNSON CUSTODIAL HOME, INC

3801 Woodside Dr, Arlington, TX 76016

Industry:
Building Maintenance Services
Doing business as:
Johnson Custodial Home, Inc<br>Maggie Johnson Nursing Center<br>Maggie Johnson Nursing Home
Registration:
Feb 13, 1976
Phone:
(817) 996-7257 (Phone)
State ID:
0037532100
Business type:
Domestic For-Profit Corporation
DIRECTOR, Director, Vice Presidents:
Cheryl L Killian (DIRECTOR, President, Director), 3801 Woodside Dr, Arlington, TX 76016,Jessica Charvet (DIRECTOR, Director, Vice President), 1008 Washburn, Leander, TX 78641
TIN:
17418533026

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