Mr. Gary Johnson
Mr. Gary Johnson is an Assisted Living Facility in Lancaster, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
1539 W Avenue L12Lancaster, CA 93534-6930
Phone: (661) 948-1275
Fax: (661) 902-6985
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Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 197605271 (CA) |
|---|
Record details
| NPI number | 1083085369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 13, 2015 |
| Last updated in NPPES | October 13, 2015 |
| Mailing address | 1539 W Avenue L12, Lancaster, CA 93534-6930 |
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