| NPI | 1952039240 |
|---|---|
| Doing Business As | MY NEW HOME - LODI GARDENS |
| Entity Type | Organization |
| Authorized Contact | DIEP MALMBERG CEO 858-272-5286 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |