# SE MESA OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sante of Mesa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477431666
- **Authorized official:** TIMOTHY O'BRIEN (VICE PRESIDENT)
- **Authorized official phone:** (202) 329-3229

## Contact information

- **Practice address:** 5358 E BASELINE RD, MESA, AZ 85206
- **Practice address phone:** (480) 699-9624
- **Mailing address:** 6841 ELM STREET, P.O. BOX 258, MCLEAN, VA 22101
- **Mailing address phone:** (202) 329-3229

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2025
- **Last updated:** 08/25/2025