Organization
BFG KENNEWICK MASTER TENANT, LLC
Active
Other names
Fieldstone Grandridge Independent and Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A BOURNE (INDIRECT MANAGER)
(407) 644-6444
Entity
Organization
Contact information
Practice address
7255 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-7742
(509) 491-3946
(509) 491-3947
Mailing address
228 N PARK AVE STE A, WINTER PARK, FL 32789-3886
(407) 644-6444
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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