# BEND FAMILY FRIENDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598458390
- **Authorized official:** MR. GUNNAR JAY PETERSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (360) 624-1495

## Contact information

- **Practice address:** 61940 PETTIGREW RD, BEND, OR 97702-2418
- **Practice address phone:** (458) 281-0612
- **Mailing address:** 61940 PETTIGREW RD, BEND, OR 97702-2418
- **Mailing address phone:** (458) 281-0612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2023
- **Last updated:** 01/02/2025