Organization
BEND VILLA RETIREMENT, LLC
Active
Other names
Bend Villa Retirement
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARIE MOSS (DIRECTOR OF RISK MANAGEMENT)
(503) 588-2725
Entity
Organization
Contact information
Practice address
1801 NE LOTUS DR, BEND, OR 97701-6174
(541) 389-0046
(541) 382-1239
Mailing address
200 HAWTHORNE AVE SE STE A140, SALEM, OR 97301-5092
(503) 588-2725
(503) 588-8653
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1989448188
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518082
—
OR
Enumeration date
06/20/2008
Last updated
06/20/2008
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