Individual
SIMONE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9214 PARKWOOD ST, VAN BUREN TOWNSHIP, MI 48111-1611
(313) 456-5274
Mailing address
9214 PARKWOOD ST, VAN BUREN TOWNSHIP, MI 48111-1611
(313) 456-5274
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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