# COLONIAL CARE CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colonial Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639257165
- **Authorized official:** DAVID FRIEDMAN (PRESIDENT)
- **Authorized official phone:** (213) 389-6900

## Contact information

- **Practice address:** 1913 E 5TH ST, LONG BEACH, CA 90802-2024
- **Practice address phone:** (562) 432-5751
- **Practice address fax:** (562) 435-0361
- **Mailing address:** 4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
- **Mailing address phone:** (213) 389-6900
- **Mailing address fax:** (213) 368-8560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000043 | CA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 04/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC06043G | — | CA |
| 05 | — | LTC70137F | — | CA |