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Organization
CRENSHAW NURSING HOME LLC
Active
Organization
CRENSHAW NURSING HOME LLC
Active
Other names
Crenshaw Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI SANDOVAL (ADMINISTRATIVE ASST)
(213) 389-6900
Entity
Organization
Contact information
Practice address
1900 LONGWOOD AVE, LOS ANGELES, CA 90016-1408
(323) 933-1560
(323) 936-9030
Mailing address
4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(323) 936-9030
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05525F
—
CA
Enumeration date
10/24/2006
Last updated
06/23/2026
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