| NPI | 1780885012 |
|---|---|
| Doing Business As | JOHNSON LLHCSA FREDONIA |
| Entity Type | Organization |
| Authorized Contact | DEAN STANLEY BROWN Finance Director 716-965-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 0671A001) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |