Individual provider · Type 1 NPI

Gary Johnson

Assisted Living Facility · Lancaster, CA

NPI number 1083085369 Active

Practice location

1539 W Avenue L12
Lancaster, CA 93534-6930

Call (661) 948-1275 Map

Fax (661) 902-6985

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X197605271 (CA)

Assisted Living Facility: 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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About NPI 1083085369

Gary Johnson's National Provider Identifier is 1083085369, issued on Oct 13, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lancaster, CA. The record was last updated on Oct 13, 2015.