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Michael Boese
Assisted Living Facility in Lodi, California
NPI 1619747276

Michael Boese is an Assisted Living Facility based in Acampo, CA. Michael Boese practices in Lodi, CA. The NPI Number for Michael Boese is 1619747276 and holds a License No. 397005496 (California).

The current practice location address for Michael Boese is 1330 W Walnut St, Lodi, CA and can be reached out via phone at 916-524-3521.

Location: 1330 W Walnut St, Lodi, CA, 95220-9201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619747276
Provider Name
Michael Boese
Credential
Provider Entity Type
Individual
Gender
Male
Address
1330 W Walnut St, Lodi, CA, 95220-9201
Phone Number
916-524-3521
Fax Number
Provider Enumeration Date
01/04/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1330 W Walnut St
City
Lodi
State
California
Zip
95242-3025
Phone Number
916-524-3521
Fax Number
person
Provider Business Mailing Address Details
Address
1330 W Walnut St
City
Lodi
State
California
Zip
95242-3025
Phone Number
916-524-3521
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
397005496 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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