Organization
ATLANTIS LODI OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA JOHNSON (MANAGING MEMBER)
(949) 291-7552
Entity
Organization
Contact information
Practice address
1321 S FAIRMONT AVE, LODI, CA 95240-5520
(209) 334-3436
Mailing address
1321 S FAIRMONT AVE, LODI, CA 95240-5520
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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