# OAK FENCE SENIOR LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Fence Congregate Living Health Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497140222
- **Authorized official:** THAN THAN AYE (PRESIDENT)
- **Authorized official phone:** (909) 967-1872

## Contact information

- **Practice address:** 6067 WEST OAK FENCE LANE, LANCASTER, CA 93536
- **Practice address phone:** (661) 270-2140
- **Mailing address:** 6067 WEST OAK FENCE LANE, LANCASTER, CA 93536
- **Mailing address phone:** (661) 270-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550002982 | CA | Yes |

## Other

- **Enumeration date:** 03/30/2015
- **Last updated:** 05/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 550002982 | DEPARTMENT OF PUBLIC HEALTH | CA |