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RONALD 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NY0671A001

Other Provider Identifiers:

IssuerNumberStateType
01996758NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NY - Page 1



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