Organization
BD MONROE I LLC
Active
Other names
Regency Care Center at Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
1355 W MAIN ST, MONROE, WA 98272-2022
(360) 794-4011
(360) 805-1724
Mailing address
3326 160TH AVE SE, BELLEVUE, WA 98008-6418
(425) 392-4066
(425) 623-1473
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
1135
WA
314000000X
Skilled Nursing Facility
Primary
1135
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113353
—
WA
05
—
4114252
—
WA
Enumeration date
06/02/2006
Last updated
05/15/2015
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