Johnnye Fayes Place
In Home Supportive Care in Highland Park, MI. Organization (NPI-2).
NPI number1316888340
StatusActive
Last updated in NPPESApr 3, 2026
Details
- NPI
- 1316888340
- Entity type
- Organization (NPI-2)
- Legal business name
- Johnnye Fayes Place
- Organization subpart
- No
- Enumeration date
- Apr 3, 2026
- Certification date
- Apr 3, 2026
- Last updated
- Apr 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
14014 Woodward Ave Ste BHighland Park, MI 48203-3629
Phone 313-768-4146
Mailing address
14014 Woodward Ave Ste BHighland Park, MI 48203-3629
Phone 313-768-4146
Authorized official
Anthony D Mckinney
Owner
3137684146
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