Olympia Manor

LBN: Bd Olympia I, Llc
Olympia Manor is an health care organization with primary practice located at 1811 22Nd Ave Se , Olympia WA 98501-3023. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bd Olympia I, Llc can be contacted via phone (360) 943-0910, or through Devore, Doug via phone (425) 392-4066.

Contact Information

Primary practice address
1811 22Nd Ave Se Olympia WA 98501-3023
Phone: (360) 943-0910
Fax: (360) 753-8259
Website:
Map and Directions
Authorized official contact:
Name: Devore, Doug
Phone: (425) 392-4066

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH1179 Washington

Profile Details

NPI number 1093813214
LBN Legal business name Bd Olympia I, Llc
DBA Doing business as Olympia Manor
Authorized official Devore, Doug
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated May 15th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093813214 NPPES
Washington MEDICAID 4111795
Washington MEDICAID 4114237

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