NPI | 1053480418 |
---|---|
Doing Business As | BROADWAY MANOR CARE CENTER |
Entity Type | Organization |
Authorized Contact | IRA DAVID FRIEDMAN Manager 213-389-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 920000064) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2023-09-29 |