Organization
JOHNSON ADULT FOSTER CARE
Active
Other names
Johnson Adult Foster Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEOLA MARIE JOHNSON (OWNER/MANAGER)
(269) 420-5697
Entity
Organization
Contact information
Practice address
708 CAPITAL AVE NE, BATTLE CREEK, MI 49017-5639
(269) 420-5697
Mailing address
708 CAPITAL AVE NE, BATTLE CREEK, MI 49017-5639
(269) 420-5697
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS130082370
MI
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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