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Organization
BAILEY ASSOCIATES INC
Active
Organization
BAILEY ASSOCIATES INC
Active
Parent organization
BAILEY ASSOCIATES INC.
Other names
Lakeside Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAILEY ASSOCIATES INC.
Authorized official
MR. DANIEL LLOYD BAILEY (PRESIDENT)
(619) 561-8626
Entity
Organization
Contact information
Practice address
9308 EMERALD GROVE AVE, LAKESIDE, CA 92040-3718
(619) 561-8626
(619) 561-6561
Mailing address
9308 EMERALD GROVE AVE, LAKESIDE, CA 92040-3718
(619) 561-8626
(619) 561-6561
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
374600038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374600038
—
CA
Enumeration date
06/01/2018
Last updated
06/16/2018
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