# SEAPORT CARE CENTER, L.P.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SeaPort 17th Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164403739
- **Authorized official:** MR. BARRY D. FRIEDMAN (ADMINISTRATOR)
- **Authorized official phone:** (310) 829-5411

## Contact information

- **Practice address:** 1330 17TH ST, SANTA MONICA, CA 90404-1902
- **Practice address phone:** (310) 829-5411
- **Practice address fax:** (310) 453-7704
- **Mailing address:** 1330 17TH ST, SANTA MONICA, CA 90404-1902
- **Mailing address phone:** (310) 829-5411
- **Mailing address fax:** (310) 453-7704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05155I | — | CA |