# JOHNSON CUSTOM SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Senior Helpers North Metro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689400954
- **Authorized official:** MR. COREY DANIEL JOHNSON (OWNER)
- **Authorized official phone:** (763) 412-7519

## Contact information

- **Practice address:** 1400 131ST AVE NE, BLAINE, MN 55449-4124
- **Practice address phone:** (763) 412-7519
- **Mailing address:** 1400 131ST AVE NE, BLAINE, MN 55449-4124
- **Mailing address phone:** (763) 412-7519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2024
- **Last updated:** 09/12/2024