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Organization
LONGWOOD ENTERPRISES LLC
Active
Organization
LONGWOOD ENTERPRISES LLC
Active
Other names
Longwood Manor Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
IRA DAVID FRIEDMAN (MANAGER)
(213) 389-6900
Entity
Organization
Contact information
Practice address
4853 W WASHINGTON BLVD, LOS ANGELES, CA 90016-1501
(323) 935-1157
(323) 935-7204
Mailing address
4032 WILSHIRE BLVD FL6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(323) 935-3140
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235213810
—
CA
Enumeration date
10/24/2006
Last updated
09/29/2023
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