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Mrs. Jennier Renee Johnson, PRESIDENT
Adult Care Home Facility in Brookston, Minnesota
NPI 1942586532

Jennier Renee Johnson is an Adult Care Home Facility based in Brookston, MN and is specialized in Adult Care Home. Jennier Renee Johnson practices in Brookston, MN and has the professional credentials of PRESIDENT. The NPI Number for Jennier Renee Johnson is 1942586532 and holds a License No. 354457 (Minnesota).

The current practice location address for Jennier Renee Johnson is 8783 2Nd Street South, Brookston, MN and can be reached out via phone at 218-453-5062 and via fax at 218-453-5064.

Location: 8783 2Nd Street South, Brookston, MN, 55711-0367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942586532
Provider Name
Jennier Renee Johnson
Credential
PRESIDENT
Provider Entity Type
Individual
Gender
Female
Address
8783 2Nd Street South, Brookston, MN, 55711-0367
Phone Number
218-453-5062
Fax Number
218-453-5064
Provider Enumeration Date
10/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8783 2Nd Street South
City
Brookston
State
Minnesota
Zip
55711-0367
Phone Number
218-453-5062
Fax Number
218-453-5064
person
Provider Business Mailing Address Details
Address
8783 2Nd Street South
City
Brookston
State
Minnesota
Zip
55711-0367
Phone Number
218-453-5062
Fax Number
218-453-5064
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
354448 (Minnesota)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
-
Taxonomy
311Z00000X
License No.
FBL-26096-34148 (Minnesota)
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
354457 (Minnesota)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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