# MILLS-PENINSULA HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mills-Peninsula Skilled Nursing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114192697
- **Authorized official:** MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
- **Authorized official phone:** (916) 297-8555

## Contact information

- **Practice address:** 1609 TROUSDALE DR, BURLINGAME, CA 94010-4520
- **Practice address phone:** (650) 696-5270
- **Mailing address:** PO BOX 742738, LOS ANGELES, CA 90074-2738
- **Mailing address phone:** (650) 696-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 22000017 | CA | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 02/27/2014