NPI 1053480418

Broadway Manor Care Center LLC

Organisation Skilled Nursing Facility Glendale, CA

Practice location

Address: 605 W Broadway, Glendale, CA 91204-1007
Phone: (818) 246-7174
Fax: (818) 246-7635
Mailing address: 4032 Wilshire Blvd Fl 6, Los Angeles, CA 90010-3425

Authorised official

Name: Ira David Friedman
Title: Manager
Phone: (213) 389-6900

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 920000064 (CA)

Other Skilled Nursing Facility providers in California →

Registry record

NPI: 1053480418
Entity type: Organization
NPI issued: 7 Nov 2006
Record last updated: 29 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.