Organization
BD COLLEGE PLACE I, LLC
Active
Other names
Regency at the Park
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
420 SE MYRA RD, COLLEGE PLACE, WA 99324-1796
(509) 529-4480
(509) 529-8776
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
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112850
—
WA
05
—
4114336
—
WA
Enumeration date
06/12/2006
Last updated
04/22/2015
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