Bd Grants Pass I LLC
NPI #1386863769 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1386863769
- Entity Type
- Organization
- Organization Name
- Bd Grants Pass I LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Feb 9, 2016
Practice Location
- Address
- 1710 NE FAIRVIEW AVE
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-3877
- Phone
- (541) 479-2606
Authorized Official
- Name
- MR. DOUG M DEVORE
- Title
- CFO
- Phone
- (425) 392-4066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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