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Mr. Gary Johnson
Assisted Living Facility in Lancaster, California
NPI 1083085369

Gary Johnson is an Assisted Living Facility based in Lancaster, CA. Gary Johnson practices in Lancaster, CA. The NPI Number for Gary Johnson is 1083085369 and holds a License No. 197605271 (California).

The current practice location address for Gary Johnson is 1539 W Avenue L12, Lancaster, CA and can be reached out via phone at 661-948-1275 and via fax at 661-902-6985.

Location: 1539 W Avenue L12, Lancaster, CA, 93534-6930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083085369
Provider Name
Gary Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1539 W Avenue L12, Lancaster, CA, 93534-6930
Phone Number
661-948-1275
Fax Number
661-902-6985
Provider Enumeration Date
10/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1539 W Avenue L12
City
Lancaster
State
California
Zip
93534-6930
Phone Number
661-948-1275
Fax Number
661-902-6985
person
Provider Business Mailing Address Details
Address
1539 W Avenue L12
City
Lancaster
State
California
Zip
93534-6930
Phone Number
661-948-1275
Fax Number
661-902-6985
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
197605271 (California)
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.
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