# BD MONROE I LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regency Care Center at Monroe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043257421
- **Authorized official:** DOUG DEVORE (CFO)
- **Authorized official phone:** (425) 392-4066

## Contact information

- **Practice address:** 1355 W MAIN ST, MONROE, WA 98272-2022
- **Practice address phone:** (360) 794-4011
- **Practice address fax:** (360) 805-1724
- **Mailing address:** 3326 160TH AVE SE, BELLEVUE, WA 98008-6418
- **Mailing address phone:** (425) 392-4066
- **Mailing address fax:** (425) 623-1473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 1135 | WA | — |
| 314000000X | Skilled Nursing Facility | 1135 | WA | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 05/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113353 | — | WA |
| 05 | — | 4114252 | — | WA |