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Organization
JOHNSON ESTATE LLC
Active
Organization
JOHNSON ESTATE LLC
Active
Other names
Jet LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MS.KIM K YOUNG LLMSW (PROGRAM COORDINATOR)
(248) 481-7120
Entity
Organization
Contact information
Practice address
116 N JOHNSON ST, PONTIAC, MI 48341-1330
(248) 481-7120
(248) 481-8786
Mailing address
116 N JOHNSON ST, PONTIAC, MI 48341-1330
(248) 481-7120
(248) 481-8786
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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