Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johanna Wallace

Individual provider Personal Care Attendant · NPI 1750569034

Johanna Wallace is a Personal Care Attendant in Southgate, Michigan. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

19401 Northline Rd
Southgate, MI 48195-2277
Phone: (734) 785-7718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1750569034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2008
Last updated in NPPESFebruary 8, 2008
Mailing address14325 Bailey St, Taylor, MI 48180-4554

Other providers in Southgate