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Organization
BEND FAMILY FRIENDS LLC
Active
Organization
BEND FAMILY FRIENDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUNNAR JAY PETERSON (EXECUTIVE DIRECTOR)
(360) 624-1495
Entity
Organization
Contact information
Practice address
61940 PETTIGREW RD, BEND, OR 97702-2418
(458) 281-0612
Mailing address
61940 PETTIGREW RD, BEND, OR 97702-2418
(458) 281-0612
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
05/30/2023
Last updated
01/02/2025
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