Organization
BD NORTH BEND I, LLC
Active
Other names
Regency North Bend Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
219 CEDAR AVE S, NORTH BEND, WA 98045-8262
(425) 888-2129
(425) 888-2168
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
NH1431
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4111878
—
WA
05
—
4114310
—
WA
Enumeration date
09/20/2006
Last updated
12/03/2015
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