Organization
DRIFTWOOD HEALTHCARE & WELLNESS CENTER, LLC
Active
Other names
Driftwood Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WEISS (CEO)
32238555492
Entity
Organization
Contact information
Practice address
4109 EMERALD ST, TORRANCE, CA 90503-3105
(310) 371-4628
(310) 214-1882
Mailing address
4109 EMERALD ST, TORRANCE, CA 90503-3105
(310) 371-4628
(310) 214-1882
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06034H
—
CA
Enumeration date
04/08/2010
Last updated
09/14/2022
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