Organization
BD GRANTS PASS I LLC
Active
Other names
Regency Care of Rogue Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG M DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
1710 NE FAIRVIEW AVE, GRANTS PASS, OR 97526-3877
(541) 479-2606
(541) 471-0611
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
1648427843
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500620696
—
OR
05
—
800982
—
OR
Enumeration date
04/24/2007
Last updated
02/09/2016
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