NPI 1295996338

Bend Villa Retirement, LLC

Organisation Assisted Living Facility Bend, OR

Practice location

Address: 1801 NE Lotus Dr, Bend, OR 97701-6174
Phone: (541) 389-0046
Fax: (541) 382-1239
Mailing address: 200 Hawthorne Ave SE STE A140, Salem, OR 97301-5092

Authorised official

Name: Elizabeth Marie Moss
Title: Director of Risk Management
Phone: (503) 588-2725

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 1989448188 (OR)

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Registry record

NPI: 1295996338
Entity type: Organization
NPI issued: 20 Jun 2008
Record last updated: 20 Jun 2008

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.