Organization
BELLEVUE OF CASCADIA, LLC
Active
Other names
The Cove of Cascadia
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN HAMMOND (PRESIDENT)
(208) 401-9600
Entity
Organization
Contact information
Practice address
620 N. 6TH STREET, BELLEVUE, ID 83313
(208) 423-5591
Mailing address
408 S. EAGLE ROAD, SUITE 205, EAGLE, ID 83616
(949) 416-6633
(844) 362-3862
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
05/24/2024
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