Individual provider · Type 1 NPI
Carelle Johnson
Custodial Care Facility · Jesup, GA
Practice location
158 Kiowa Dr S
Jesup, GA 31545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | CN0036020198 (GA) |
Custodial Care Facility: 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 pa…
About NPI 1831997121
Carelle Johnson's National Provider Identifier is 1831997121, issued on Mar 4, 2025. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Jesup, GA. The record was last updated on Mar 4, 2025.