# KAPALUA BEACH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellevue Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184413239
- **Authorized official:** RYAN WILLIAMS (MANAGING MEMBER)
- **Authorized official phone:** (916) 299-7030

## Contact information

- **Practice address:** 2424 156TH AVE NE, BELLEVUE, WA 98007-3814
- **Practice address phone:** (425) 242-5671
- **Mailing address:** 599 MENLO DR STE 200, ROCKLIN, CA 95765-3725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2025
- **Last updated:** 05/05/2025