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Organization
BD YAKIMA I, LLC
Active
Organization
BD YAKIMA I, LLC
Active
Other names
Good Samaritan Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
702 N 16TH AVE, YAKIMA, WA 98902-1803
(509) 248-5320
(509) 249-8103
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
1422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112975
—
WA
05
—
4114229
—
WA
Enumeration date
06/04/2006
Last updated
05/15/2015
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