Organization
BD YAKIMA I, LLC
Active
Other names
Good Samaritan Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
702 N 16TH AVE, YAKIMA, WA 98902-1803
(509) 248-5320
(509) 249-8103
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
1422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112975
—
WA
05
—
4114229
—
WA
Enumeration date
06/04/2006
Last updated
05/15/2015
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