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Gilbert Johnson
Adult Care Home Facility in Detroit, Michigan
NPI 1417324575

Gilbert Johnson is an Adult Care Home Facility based in Detroit, MI and is specialized in Adult Care Home. Gilbert Johnson practices in Detroit, MI. The NPI Number for Gilbert Johnson is 1417324575 and holds a License No. (Michigan).

The current practice location address for Gilbert Johnson is 15800 Fairmount Dr, Detroit, MI and can be reached out via phone at 313-850-5205.

Location: 15800 Fairmount Dr, Detroit, MI, 48205-1448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417324575
Provider Name
Gilbert Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
15800 Fairmount Dr, Detroit, MI, 48205-1448
Phone Number
313-850-5205
Fax Number
Provider Enumeration Date
08/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15800 Fairmount Dr
City
Detroit
State
Michigan
Zip
48205-1448
Phone Number
313-850-5205
Fax Number
person
Provider Business Mailing Address Details
Address
15800 Fairmount Dr
City
Detroit
State
Michigan
Zip
48205-1448
Phone Number
313-850-5205
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(Michigan)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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