Bd Prineville I, LLC
NPI #1548473655 in Prineville, Oregon
Provider Information
- NPI Number
- 1548473655
- Entity Type
- Organization
- Organization Name
- Bd Prineville I, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 7, 2007
- Last Updated
- Apr 20, 2010
Practice Location
- Address
- 830 NORTH ELM STREET
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754
- Phone
- (541) 416-3600
Authorized Official
- Name
- DOUG DEVORE
- Title
- PRESIDENT
- Phone
- (425) 392-4066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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