Individual
MR. WILLIE B JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5631 OAKMAN BLVD, DETROIT, MI 48204-3012
(313) 221-0315
Mailing address
5631 OAKMAN BLVD, DETROIT, MI 48204-3012
(313) 221-0315
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MI
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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