NPI 1649077405

Mavericks Beach, LLC

Organisation Skilled Nursing Facility Saint Helens, OR

Practice location

Address: 75 Shore Dr, Saint Helens, OR 97051-1125
Phone: (503) 397-2713
Mailing address: 599 Menlo Dr STE 200, Rocklin, CA 95765-3725

Authorised official

Name: Ryan Williams
Title: Managing Member
Phone: (916) 299-7030

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Oregon →

Registry record

NPI: 1649077405
Entity type: Organization
NPI issued: 28 Feb 2025
Record last updated: 28 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.