Gilbert Johnson

NPI #1417324575 in Detroit, Michigan

Provider Information

NPI Number
1417324575
Entity Type
Individual
Name
Gilbert Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Aug 25, 2015
Last Updated
Aug 25, 2015

Practice Location

Address
15800 FAIRMOUNT DR
ZIP Code
48205-1448
Phone
(313) 850-5205

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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