Individual provider · Type 1 NPI
Shawitekia Johnson
Assisted Living Facility · Thomson, GA
NPI number
1497376545
Active
Practice location
312 Magnolia Dr
Thomson, GA 30824-1842
Mailing address
735 Pineview Dr SW
Thomson, GA 30824-8219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
About NPI 1497376545
Shawitekia Johnson's National Provider Identifier is 1497376545, issued on Apr 29, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Thomson, GA. The record was last updated on Apr 29, 2020.