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Organization
BD PRINEVILLE I, LLC
Active
Organization
BD PRINEVILLE I, LLC
Active
Other names
Ochco Village Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (PRESIDENT)
(425) 392-4066
Entity
Organization
Contact information
Practice address
830 NORTH ELM STREET, PRINEVILLE, OR 97754
(541) 416-3600
(541) 416-9293
Mailing address
830 NORTH ELM STREET, PRINEVILLE, OR 97754
(541) 416-3600
(541) 416-9293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1729732691
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513763
—
OR
Enumeration date
05/07/2007
Last updated
04/20/2010
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