Organization
JOHNSON CUSTOM SERVICES, LLC
Active
Other names
Senior Helpers North Metro
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY DANIEL JOHNSON (OWNER)
(763) 412-7519
Entity
Organization
Contact information
Practice address
1400 131ST AVE NE, BLAINE, MN 55449-4124
(763) 412-7519
Mailing address
1400 131ST AVE NE, BLAINE, MN 55449-4124
(763) 412-7519
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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