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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