# BAYVIEW MANOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578546123
- **Authorized official:** MR. ANTHONY MAKAR (ADMINISTRATOR)
- **Authorized official phone:** (843) 524-8911

## Contact information

- **Practice address:** 11 TODD DR, BEAUFORT, SC 29902
- **Practice address phone:** (843) 524-8911
- **Mailing address:** PO BOX 1103, BEAUFORT, SC 29901-1103
- **Mailing address phone:** (843) 524-8911
- **Mailing address fax:** (843) 986-0831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 10/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 415627 | — | SC |