# SILVERSCREEN HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** golden state colonial convalescent hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124134572
- **Authorized official:** MARYLYNN MAHAN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (909) 987-7735

## Contact information

- **Practice address:** 10830 OXNARD ST, N HOLLYWOOD, CA 91606-5021
- **Practice address phone:** (818) 763-8247
- **Practice address fax:** (818) 762-8279
- **Mailing address:** 10830 OXNARD ST, N HOLLYWOOD, CA 91606-5021
- **Mailing address phone:** (818) 763-8247
- **Mailing address fax:** (818) 762-8279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000036 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 02/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT18128H | — | CA |