| Organization Name: | LO HAR LODGE INC |
| NPI Number: | 1013024355 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE FURMANSKI (VICE PRESIDENT COMPLIANCE) |
| Mailing Address: | 794 Dorothy St El Cajon |
| State: | CA US |
| Postal Code: | 920193101 |
| Phone Number: | 6194448270 |
| Fax Number: | 6194440872 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 08/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | 374600599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |