Organization
MACKENZIE LLC
Active
Other names
Fair Oaks Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BUSHNELL (DIRECTOR OF OPERATIONS)
(949) 508-8370
Entity
Organization
Contact information
Practice address
11300 FAIR OAKS BLVD, FAIR OAKS, CA 95628-5141
(916) 965-4663
Mailing address
2266 LAVA RIDGE CT, ROSEVILLE, CA 95661-2856
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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