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Organization

JOHNNYE FAYES PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY D MCKINNEY (OWNER)
(313) 768-4146
Entity
Organization

Contact information

Practice address
14014 WOODWARD AVE STE B, HIGHLAND PARK, MI 48203-3629
(313) 768-4146
Mailing address
14014 WOODWARD AVE STE B, HIGHLAND PARK, MI 48203-3629
(313) 768-4146

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
04/03/2026
Last updated
04/03/2026
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