GILBERT JOHNSON
Custodial Care Facility - Adult Care Home
Active
Individual
NPI: 1417324575
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Custodial Care Facility - Adult Care Home | 311ZA0620X | Yes | - |
Frequently Asked Questions
NPI 1417324575 is the National Provider Identifier for GILBERT JOHNSON, a Custodial Care Facility - Adult Care Home provider located in Detroit, MI. This NPI was enumerated on August 25, 2015.
GILBERT JOHNSON practices at 15800 FAIRMOUNT DR, Detroit, MI 48205.
Quick Facts
- NPI
- 1417324575
- Type
- Individual
- Enumerated
- Aug 25, 2015
- Last Updated
- Aug 25, 2015
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