| NPI | 1467808733 |
|---|---|
| Doing Business As | JOHNSON ADULT FOSTER CARE |
| Entity Type | Organization |
| Authorized Contact | LEOLA MARIE JOHNSON Owner/Manager 269-420-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS130082370) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |