Mavericks Beach, LLC
NPI #1649077405 in Saint Helens, Oregon
Provider Information
- NPI Number
- 1649077405
- Entity Type
- Organization
- Organization Name
- Mavericks Beach, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 28, 2025
- Last Updated
- Feb 28, 2025
Practice Location
- Address
- 75 SHORE DR
- City
- Saint Helens
- State
- Oregon
- ZIP Code
- 97051-1125
- Phone
- (503) 397-2713
Authorized Official
- Name
- RYAN WILLIAMS
- Title
- MANAGING MEMBER
- Phone
- (916) 299-7030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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