Organization
MAKENA BAY, LLC
Active
Other names
Oakwood Meadows Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WILLIAMS (MANAGING MEMBER)
(916) 945-1248
Entity
Organization
Contact information
Practice address
7241 CANELO HILLS DR, CITRUS HEIGHTS, CA 95610-3161
(916) 742-7673
Mailing address
599 MENLO DR STE 200, ROCKLIN, CA 95765-3725
(916) 879-6560
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342700705
—
CA
Enumeration date
08/04/2023
Last updated
08/04/2023
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