Individual provider · Type 1 NPI

Gilbert Johnson

Adult Care Home Facility · Detroit, MI

NPI number 1417324575 Active

Practice location

15800 Fairmount Dr
Detroit, MI 48205-1448

Call (313) 850-5205 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1417324575

Gilbert Johnson's National Provider Identifier is 1417324575, issued on Aug 25, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Detroit, MI. The record was last updated on Aug 25, 2015.