Organization
COLONIAL CARE CENTER INC.
Active
Other names
Colonial Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRIEDMAN (PRESIDENT)
(213) 389-6900
Entity
Organization
Contact information
Practice address
1913 E 5TH ST, LONG BEACH, CA 90802-2024
(562) 432-5751
(562) 435-0361
Mailing address
4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
(213) 389-6900
(213) 368-8560
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC06043G
—
CA
05
—
LTC70137F
—
CA
Enumeration date
11/01/2006
Last updated
04/26/2018
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