# WAILEA BEACH, LLC

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

## Provider details

- **NPI number:** 1457152514
- **Authorized official:** RYAN WILLIAMS (MANAGER)
- **Authorized official phone:** (916) 945-1248

## Contact information

- **Practice address:** 650 W HEMLOCK ST, SEQUIM, WA 98382-3718
- **Practice address phone:** (360) 582-2400
- **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:** 03/24/2025
- **Last updated:** 03/24/2025