| NPI | 1306581855 |
|---|---|
| Other Name | LAKEWOOD VILLA |
| Doing Business As | LAKEWOOD VILLA |
| Entity Type | Organization |
| Authorized Contact | GARY QUIAMBAO CEO 925-357-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |