Individual
CASSANDRA JEANNINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 APPIAN WAY APT 6, MT PLEASANT, MI 48858-4359
(612) 207-4126
Mailing address
920 APPIAN WAY APT 6, MT PLEASANT, MI 48858-4359
(612) 207-4126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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