Organization
SUNBRIDGE STOCKTON REHABILITATION CENTER LLC
Active
Parent organization
REGENCY HEALTH SERVICES LLC
Other names
Creekside 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
9107 DAVIS RD, STOCKTON, CA 95209-1807
(209) 478-6488
Mailing address
9107 DAVIS RD, STOCKTON, CA 95209-1807
(209) 478-6488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SNF55387F
—
CA
Enumeration date
05/30/2006
Last updated
04/19/2016
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