Organization
BD OLYMPIA I, LLC
Active
Other names
OLYMPIA MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
1811 22ND AVE SE, OLYMPIA, WA 98501-3023
(360) 943-0910
(360) 753-8259
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
NH1179
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4111795
—
WA
05
—
4114237
—
WA
Enumeration date
09/20/2006
Last updated
05/15/2015
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