Organization · Type 2 NPI
Ronald R. Johnson
Adult Care Home Facility · Fredonia, NY
NPI number
1780885012
Active
Practice location
4883 W Main Rd
Fredonia, NY 14063-9509
Fax (716) 679-4881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 0671A001 (NY) |
Adult Care Home Facility: 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.
About NPI 1780885012
Ronald R. Johnson's National Provider Identifier is 1780885012, issued on May 31, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fredonia, NY. The record was last updated on Aug 22, 2020.