Individual
MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2513 BLODGETT ST, HOUSTON, TX 77004-5239
(832) 893-0093
Mailing address
2513 BLODGETT ST, HOUSTON, TX 77004-5239
(832) 893-0093
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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