Organization
W.E. LODGE, INC
Active
Other names
The Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ZIMMERMAN COOK JD (CEO)
(510) 748-4300
Entity
Organization
Contact information
Practice address
801 ISLAND DR, ALAMEDA, CA 94502-6762
(510) 748-4300
Mailing address
801 ISLAND DR, ALAMEDA, CA 94502-6762
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
011440777
CA
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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