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Ronald R. Johnson
Adult Care Home Facility in Forestville, New York
NPI 1477754703

Ronald R. Johnson is an Adult Care Home Facility based in Forestville, NY and is specialized in Adult Care Home. Ronald R. Johnson practices in Forestville, NY. The NPI Number for Ronald R. Johnson is 1477754703 and holds a License No. 0671A002 (New York).

The current practice location address for Ronald R. Johnson is 2063 Route 83, Forestville, NY and can be reached out via phone at 716-965-2644.

Location: 2063 Route 83, Forestville, NY, 14062-9639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477754703
Provider Name
Ronald R. Johnson
Credential
Provider Entity Type
Organization
Address
2063 Route 83, Forestville, NY, 14062-9639
Phone Number
716-965-2644
Fax Number
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01996767 05 NY
institution
Provider Business Practice Location Address Details
Address
2063 Route 83
City
Forestville
State
New York
Zip
14062-9639
Phone Number
716-965-2644
Fax Number
person
Provider Business Mailing Address Details
Address
2063 Route 83
City
Forestville
State
New York
Zip
14062-9639
Phone Number
716-965-2644
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
0671A002 (New York)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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