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Organization
REGENCY OMAK LLC
Active
Organization
REGENCY OMAK LLC
Active
Other names
Regency Omak
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN BEDDOE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
901 SHUMWAY RD, OMAK, WA 98841-9798
(509) 846-7700
(509) 826-5248
Mailing address
3326 160TH AVE SE, SUITE 120, BELLEVUE, WA 98008-6418
(425) 392-4066
(425) 623-1517
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH 1479
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173924
L&I NUMBER
WA
05
—
4114796
—
WA
Enumeration date
07/26/2006
Last updated
11/20/2015
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