Janice Lee Knobb

Individual provider Active NPI Adult Care Home Facility · Afton, NY

NPI 1104616440 · NPPES record last updated May 9, 2025

Key facts

NPI
1104616440
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
Practice address
215 Main St
Afton, NY 13730-3222
Phone
(609) 602-3949
NPI assigned
May 9, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NY Yes

Addresses

Primary practice location

215 Main St
Afton, NY 13730-3222

Mailing address

215 Main St
Afton, NY 13730-3222
Phone (609) 602-3949

Other providers in Afton, NY

All providers in Afton, NY · Adult Care Home Facility in New York

Sources for this page

Verify at the official NPI Registry.