NPI 1174027114

Bfg Kennewick Master Tenant, LLC

Organisation Assisted Living Facility Kennewick, WA

Practice location

Address: 575 N Young St, Kennewick, WA 99336-7806
Phone: (509) 491-3945
Fax: (509) 491-3948
Mailing address: 228 N Park Ave STE a, Winter Park, FL 32789-3886

Authorised official

Name: Robert a Bourne
Title: Indirect Manager
Phone: (407) 644-6444

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1174027114
Entity type: Organization
NPI issued: 23 Mar 2018
Record last updated: 23 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.