Organization
GENUINE AGAPE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLIE JOYCE JOHNSON NURSING ASSISTANT (PRESIDENT, CEO)
(877) 526-3186
Entity
Organization
Contact information
Practice address
15802 LESURE ST, DETROIT, MI 48227-3336
(877) 526-3186
Mailing address
15802 LESURE ST, DETROIT, MI 48227-3336
(877) 526-3186
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
230002612990406
MI
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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