Individual provider · Type 1 NPI
Michael Boese
Assisted Living Facility · Lodi, CA
NPI number
1619747276
Active
Practice location
1330 W Walnut St
Lodi, CA 95242-3025
Mailing address
2750 E Collier Rd
Acampo, CA 95220-9201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 397005496 (CA) |
Assisted Living Facility: 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.
About NPI 1619747276
Michael Boese's National Provider Identifier is 1619747276, issued on Jan 4, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lodi, CA. The record was last updated on Jan 4, 2024.