| NPI | 1114323136 |
|---|---|
| Doing Business As | FOUR SEASONS CARE CENTER- LODI |
| Entity Type | Organization |
| Authorized Contact | PRAXEDES BERNARDO DEMESA President/Managng Member 209-406-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |