# O'CONNOR WOODS HOUSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meadowood Health & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730269184
- **Authorized official:** PENNY MALLETTE (CEO)
- **Authorized official phone:** (209) 956-3400

## Contact information

- **Practice address:** 3110 WAGNER HEIGHTS RD, STOCKTON, CA 95209-4848
- **Practice address phone:** (209) 956-3444
- **Practice address fax:** (209) 956-3454
- **Mailing address:** 3400 WAGNER HEIGHTS RD, STOCKTON, CA 95209-4843
- **Mailing address phone:** (209) 956-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100000631 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 10/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100000631 | STATE LICENSE NUMBER | CA |
| 05 | — | 7538839 | — | CA |