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Organization
RONALD R. JOHNSON
Active
Organization
RONALD R. JOHNSON
Active
Other names
Underwood Manor LLHCSA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD RAY JOHNSON (OWNER)
(716) 595-8784
Entity
Organization
Contact information
Practice address
4460 UNION HILL RD, HINSDALE, NY 14743-9715
(716) 557-2322
Mailing address
2063 ROUTE 83, FORESTVILLE, NY 14062-9639
(716) 965-2644
(716) 965-4163
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0671A003
NY
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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