| NPI | 1700252137 |
|---|---|
| Other Name | THE LODGE |
| Entity Type | Organization |
| Authorized Contact | LAUREN ZIMMERMAN COOK CEO 510-748-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 011440777) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |