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Organization
BAYSHORE HEALTHCARE, INC.
Active
Organization
BAYSHORE HEALTHCARE, INC.
Active
Other names
Bella Vista Transitional Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
3033 AUGUSTA ST, SAN LUIS OBISPO, CA 93401-5820
(805) 544-5100
(805) 544-7209
Mailing address
3033 AUGUSTA ST, SAN LUIS OBISPO, CA 93401-5820
(805) 544-5100
(805) 544-7209
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000083
CA
Other
Enumeration date
01/07/2009
Last updated
06/28/2011
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