Park Regency Care LLC
Skilled Nursing Facility in La Habra, CA. Organization (NPI-2).
NPI number1184720005
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184720005
- Entity type
- Organization (NPI-2)
- Legal business name
- Park Regency Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 060000269 | CA | Yes |
Other names
- Park Regency Care Center (Doing Business As)
Practice location
1770 W La Habra BlvdLa Habra, CA 90631
Phone 714-773-0750 · Fax 562-697-8478
Mailing address
3050 Saturn StreetSuite #201
Brea, CA 92821-6278
Phone 714-577-3880 · Fax 714-577-3895
Authorized official
Mark A Mortensen
Sr Vp Finance
7145773880
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