Organization
KING JOHNSON PERSONAL CARE SERVICES LLC
Active
Organization
KING JOHNSON PERSONAL CARE SERVICES LLC
Active
Other names
Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
KING JOHNSON GILUNGU OWNER (CEO)
(682) 812-4249
Entity
Organization
Contact information
Practice address
48 BOWDOIN AVE, SOUTH PORTLAND, ME 04106-5605
(682) 812-4249
Mailing address
48 BOWDOIN AVE, SOUTH PORTLAND, ME 04106-5605
(682) 812-4249
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
12/14/2023
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