Bfg Kennewick Master Tenant, LLC
NPI #1174027114 in Kennewick, Washington
Provider Information
- NPI Number
- 1174027114
- Entity Type
- Organization
- Organization Name
- Bfg Kennewick Master Tenant, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 23, 2018
- Last Updated
- Mar 23, 2018
Practice Location
- Address
- 575 N YOUNG ST
- City
- Kennewick
- State
- Washington
- ZIP Code
- 99336-7806
- Phone
- (509) 491-3945
Authorized Official
- Name
- ROBERT A BOURNE
- Title
- INDIRECT MANAGER
- Phone
- (407) 644-6444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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