Organization
JUST US CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN S JOHNSTON (DIRECTOR)
(734) 678-0840
Entity
Organization
Contact information
Practice address
1735 S WAGNER RD, ANN ARBOR, MI 48103-9715
(734) 678-0840
Mailing address
PO BOX 2688, ANN ARBOR, MI 48106-2688
(734) 678-0840
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
DC810020456
MI
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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