| NPI | 1740059997 |
|---|---|
| Doing Business As | LOMITA GUEST HOME |
| Entity Type | Organization |
| Authorized Contact | BREVET DAO CEO 714-975-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |