| NPI | 1063600062 |
|---|---|
| Doing Business As | BONAVENTURE RETIREMENT & ASSISTED LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | KELLEY D HAMILTON CEO And President Of Manager 503-566-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |