Organization
SUNBRIDGE HALLMARK HEALTH SERVICES LLC
Active
Parent organization
REGENCY HEALTH SERVICES LLC
Other names
Playa Del Rey Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENCY HEALTH SERVICES LLC
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
7716 W MANCHESTER AVE, PLAYA DEL REY, CA 90293-8408
(310) 823-4694
(310) 822-1260
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
910000089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05618K
—
CA
Enumeration date
05/26/2006
Last updated
01/14/2016
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