Bd Prineville II LLC
NPI #1073732434 in Prineville, Oregon
Provider Information
- NPI Number
- 1073732434
- Entity Type
- Organization
- Organization Name
- Bd Prineville II LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Jan 22, 2016
Practice Location
- Address
- 950 NE ELM ST
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1619
- Phone
- (541) 447-7667
Authorized Official
- Name
- MR. DOUG DEVORE
- Title
- PRESIDENT
- Phone
- (425) 392-4066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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