Organization
MY NEW HOME CORP.
Active
Parent organization
MY NEW HOME CORP.
Other names
MY NEW HOME - LODI GARDENS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY NEW HOME CORP.
Authorized official
DIEP MALMBERG (CEO)
(858) 272-5286
Entity
Organization
Contact information
Practice address
5289 LODI ST, SAN DIEGO, CA 92117-1152
(858) 272-5286
(858) 272-2571
Mailing address
5289 LODI ST, SAN DIEGO, CA 92117-1152
(858) 272-5286
(858) 272-2571
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374604584
FACILITY LICENSE
CA
Enumeration date
08/12/2022
Last updated
08/12/2022
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