Damita Johnson

NPI 1851139620 · on the registry since 2024 · sole proprietor

Practice

Address: 1401 W Fort St Unit 441846
Detroit, MI 48244
Phone: (313) 492-9437
Organisation at this address: Diamond Care Home Service
Vital Source Ministry Enterprise
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 374U00000X
374U00000X
Also registered as: 101YP1600X
172A00000X
372600000X
374K00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan