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Organization
SEAPORT CARE CENTER, L.P.
Active
Organization
SEAPORT CARE CENTER, L.P.
Active
Other names
SeaPort 17th Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY D. FRIEDMAN (ADMINISTRATOR)
(310) 829-5411
Entity
Organization
Contact information
Practice address
1330 17TH ST, SANTA MONICA, CA 90404-1902
(310) 829-5411
(310) 453-7704
Mailing address
1330 17TH ST, SANTA MONICA, CA 90404-1902
(310) 829-5411
(310) 453-7704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05155I
—
CA
Enumeration date
11/09/2005
Last updated
08/22/2020
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