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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