| NPI | 1124833900 |
|---|---|
| Other Name | DAMITA COLLETTE JOHNSON |
| Entity Type | Organization |
| Authorized Contact | DAMITA COLLETTE JOHNSON Manager 313-492-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-18 |