Organization
BONAVENTURE OF LACEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE JEANINE LINK (ACCOUNTS RECEIVABLE SPECIALIST)
(503) 371-3131
Entity
Organization
Contact information
Practice address
4528 INTELCO LOOP SE, LACEY, WA 98503-5916
(360) 455-8500
Mailing address
3425 BOONE RD SE, SALEM, OR 97317-9336
(503) 373-3131
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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