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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