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Organization

BD SUNNYSIDE I, LLC

Active
Other names
SUN TERRACE RETIREMENT
Organization subpart
No

Provider details

NPI number
Authorized official
DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization

Contact information

Practice address
907 IDA BELLE ST, SUNNYSIDE, WA 98944-9062
(509) 839-0579
Mailing address
907 IDA BELLE ST, SUNNYSIDE, WA 98944-9062
(509) 839-0579

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
596417
WA
Enumeration date
11/02/2007
Last updated
04/20/2010
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