| NPI | 1104017961 |
|---|---|
| Doing Business As | DODGE PARK REST HOME |
| Entity Type | Organization |
| Authorized Contact | BEN HERLINGER Member/Manager 818-571-8972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 1318) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |