1063600062 BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC
- Enumeration Date
- October 4, 2007
- Last Update
- October 4, 2007
- Authorized Official
- MR. KELLEY D HAMILTON
CEO AND PRESIDENT OF MANAGER
Phone: (503) 566-5715
Practice Location
- Address
- 3220 STATE ST
SUITE 200
SALEM, OR 973016872 - Phone
- (503) 566-5715
- Fax
- (503) 588-3531
Mailing Address
- Address
- 5850 N FIVE MILE RD
BOISE, ID 837135259 - Phone
- (208) 429-6544
- Fax
- (208) 429-6739
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | N/A | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W55531 | 01 | ID | CERTIFICATE # |
Frequently Asked Questions
What is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's NPI number?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's NPI number is 1063600062.
Which doctor has NPI number 1063600062?
The doctor with NPI number 1063600062 is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC.
What is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's practice address?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's practice address is 3220 STATE ST, SUITE 200, SALEM, OR, 973016872.
Which doctor practices at 3220 STATE ST, SUITE 200, SALEM, OR, 973016872?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC practices at 3220 STATE ST, SUITE 200, SALEM, OR, 973016872.
What is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's mailing address?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's mailing address is 5850 N FIVE MILE RD, BOISE, ID, 837135259.
What is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's phone number?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's phone number is (503) 566-5715.
Who is (503) 566-5715?
(503) 566-5715 is the phone number for BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC.
What is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's specialty?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC's specialty is Exclusive Provider Organization.
What type of doctor is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC is a Exclusive Provider Organization.
Is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC a Exclusive Provider Organization?
Yes, BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC is a Exclusive Provider Organization.
Is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC still practicing?
Yes, BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC is currently practicing.
Is BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC accepting new patients?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC may be accepting new patients. Please call their office at (503) 566-5715 to inquire about availability.
Is NPI 1063600062 still active?
Yes, NPI 1063600062 is currently active.
Where does BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC practice?
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC practices in SALEM, OR.