MRS. Jennier Renee Johnson, PRESIDENT

NPI #1942586532 in Brookston, Minnesota

Provider Information

NPI Number
1942586532
Entity Type
Individual
Name
MRS. Jennier Renee Johnson, PRESIDENT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Credential
PRESIDENT
Enumeration Date
Oct 26, 2011
Last Updated
Oct 26, 2011

Practice Location

Address
8783 2ND STREET SOUTH
ZIP Code
55711-0367
Phone
(218) 453-5062

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility
Custodial Care Facility
Custodial Care Facility - Adult Care HomeAdult Care Home

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