Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Carelle Johnson

Individual provider Custodial Care Facility · NPI 1831997121

Mrs. Carelle Johnson is a Custodial Care Facility in Jesup, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
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Practice location Address checks out

158 Kiowa Dr S
Jesup, GA 31545
Phone: (912) 424-3204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X · Licence CN0036020198 (GA)

Record details

NPI number1831997121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2025
Last updated in NPPESMarch 4, 2025