Organization
CRENSHAW ENTERPRISES LLC
Active
Other names
Crenshaw Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
IRA DAVID FRIEDMAN (MANAGER)
(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
09/29/2023
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