NPI 1013125467

Ronald R. Johnson

Organisation Adult Care Home Facility Hinsdale, NY

Practice location

Address: 4460 Union Hill Rd, Hinsdale, NY 14743-9715
Phone: (716) 557-2322
Mailing address: 2063 Route 83, Forestville, NY 14062-9639

Authorised official

Name: Ronald Ray Johnson
Title: Owner
Phone: (716) 595-8784

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 0671A003 (NY)

Other Custodial Care Facility providers in New York →

Registry record

NPI: 1013125467
Entity type: Organization
NPI issued: 18 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.