Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareRONALD R. JOHNSON
Adult Care Home
Fredonia, New York
Provider NPI: 1780885012
Organization Information:Organization Name: RONALD R. JOHNSON
Practice Location:
4883 W MAIN RD FREDONIA, NY 14063 US
Tel: 716-679-4883 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4883 W MAIN RD FREDONIA, NY 14063 US
Tel: 716-679-4883 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NY | 0671A001 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 01996758 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin