Organization
MBB KENNEWICK LLC
Active
Organization
MBB KENNEWICK LLC
Active
Other names
Regency Kennewick Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN B BEDDOE (CEO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
2702 S ELY ST, KENNEWICK, WA 99337-3014
(509) 582-5900
(509) 582-4944
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
1537
WA
314000000X
Skilled Nursing Facility
NH1241
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4115371
—
WA
Enumeration date
10/21/2005
Last updated
06/29/2016
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