Organization
SUNBRIDGE HALLMARK HEALTH SERVICES LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Park West Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
2210 EAST 1ST STREET, SANTA ANA, CA 92705-3802
(714) 547-7091
(714) 547-4516
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
060000121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05330G
—
CA
Enumeration date
05/28/2006
Last updated
07/13/2015
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