| NPI | 1407482268 |
|---|---|
| Doing Business As | LOLOMA HOUSE AT SUNNYSIDE |
| Doing Business As | LOLOMA HOUSE AT GREENWAY |
| Entity Type | Organization |
| Authorized Contact | LAURA ADILOBA HORNBACK Owner / Administrator 623-418-6657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-27 |