Johnson Custom Services, LLC

NPI #1689400954 in Blaine, Minnesota

Provider Information

NPI Number
1689400954
Entity Type
Organization
Organization Name
Johnson Custom Services, LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Sep 12, 2024
Last Updated
Sep 12, 2024

Practice Location

Address
1400 131ST AVE NE
City
Blaine
ZIP Code
55449-4124
Phone
(763) 412-7519

Authorized Official

Name
MR. COREY DANIEL JOHNSON
Title
OWNER
Phone
(763) 412-7519

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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