Organization
IMPACT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE L JOHNSON B.A. , CHW (OWNER/DIRECTOR)
(877) 544-6722
Entity
Organization
Contact information
Practice address
15325 GRATIOT AVE, DETROIT, MI 48205-1328
(877) 544-6722
Mailing address
15325 GRATIOT AVE, DETROIT, MI 48205-1328
(877) 544-6722
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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