Organization
BLC CHANCELLOR-LODI LH, LLC
Active
Other names
Brookdale Lodi
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MUNOZ (ASSISTANT SECRETARY)
(414) 918-5443
Entity
Organization
Contact information
Practice address
2220 W KETTLEMAN LN, LODI, CA 95242-4347
(209) 367-8870
Mailing address
2220 W KETTLEMAN LN, LODI, CA 95242-4347
(209) 367-8870
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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