Organization
BD PRINEVILLE I, LLC
Active
Other names
Ochco Village Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (PRESIDENT)
(425) 392-4066
Entity
Organization
Contact information
Practice address
830 NORTH ELM STREET, PRINEVILLE, OR 97754
(541) 416-3600
(541) 416-9293
Mailing address
830 NORTH ELM STREET, PRINEVILLE, OR 97754
(541) 416-3600
(541) 416-9293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1729732691
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513763
—
OR
Enumeration date
05/07/2007
Last updated
04/20/2010
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