Organization
BD GRANTS PASS II LLC
Active
Other names
Laurel Hill Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG M DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
859 NE 6TH ST, GRANTS PASS, OR 97526-1555
(541) 479-3700
(541) 471-2967
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
1897069214
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500620746
—
OR
05
—
800987
—
OR
Enumeration date
05/01/2007
Last updated
02/09/2016
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