Provider Demographics
NPI:1407085061
Name:JOHNSON AND HARPER CREATIONS, L.L.C.
Entity Type:Organization
Organization Name:JOHNSON AND HARPER CREATIONS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER/PARTNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JEANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-717-4997
Mailing Address - Street 1:3430 E JEFFERSON AVE
Mailing Address - Street 2:#245
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-4233
Mailing Address - Country:US
Mailing Address - Phone:313-587-9241
Mailing Address - Fax:313-921-9319
Practice Address - Street 1:5071 ROHNS ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-3028
Practice Address - Country:US
Practice Address - Phone:313-717-4997
Practice Address - Fax:313-921-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-03
Last Update Date:2009-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies