NPI 1558600379
Malone House
Practice location
- Address
- 113 N Malone St, San Angelo, TX 76903-5538
- Phone
- (325) 617-7467
- Fax
- (325) 617-7467
Authorised official
- Name
- Donna Johnson
- Title
- Administrator
- Phone
- (325) 617-7467
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1558600379
- Entity type
- Organization
- NPI issued
- 14 Feb 2013
- Record last updated
- 14 Feb 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.