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Ronald R. Johnson
Adult Care Home Facility in Fredonia, New York
NPI 1780885012

Ronald R. Johnson is an Adult Care Home Facility based in Fredonia, NY and is specialized in Adult Care Home. Ronald R. Johnson practices in Fredonia, NY. The NPI Number for Ronald R. Johnson is 1780885012 and holds a License No. 0671A001 (New York).

The current practice location address for Ronald R. Johnson is 4883 W Main Rd, Fredonia, NY and can be reached out via phone at 716-679-4883 and via fax at 716-679-4881.

Location: 4883 W Main Rd, Fredonia, NY, 14063-9509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780885012
Provider Name
Ronald R. Johnson
Credential
Provider Entity Type
Organization
Address
4883 W Main Rd, Fredonia, NY, 14063-9509
Phone Number
716-679-4883
Fax Number
716-679-4881
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01996758 05 NY
institution
Provider Business Practice Location Address Details
Address
4883 W Main Rd
City
Fredonia
State
New York
Zip
14063-9509
Phone Number
716-679-4883
Fax Number
716-679-4881
person
Provider Business Mailing Address Details
Address
4883 W Main Rd
City
Fredonia
State
New York
Zip
14063-9509
Phone Number
716-679-4883
Fax Number
716-679-4881
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
0671A001 (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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