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Jennier Johnson, PRESIDENT
NPI 1942586532 · on the registry since 2011 · sole proprietor
Practice
- Address
- 8783 2nd Street South
Brookston, MN 55711 - Phone
- (218) 453-5062
- Fax
- (218) 453-5064
- Organisation at this address
- Stonehaven Assisted Living Inc.
Sharon Shofner Adult Foster CareInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Assisted Living Facility
310400000X
- Also registered as
- Custodial Care Facility
Adult Care Home Facility - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota