# BARAGA COUNTY EXTENDED CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Louis & Anne Guy Bayside Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629187521
- **Authorized official:** EMILY A DAULT RN, LNHA (ADMINISTRATOR)
- **Authorized official phone:** (906) 524-6531

## Contact information

- **Practice address:** 832 SICOTTE ST, LANSE, MI 49946-1243
- **Practice address phone:** (906) 524-6531
- **Practice address fax:** (906) 524-7533
- **Mailing address:** 832 SICOTTE ST, LANSE, MI 49946-1243
- **Mailing address phone:** (906) 524-6531
- **Mailing address fax:** (906) 524-7533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 074010 | MI | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 05/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09543 | BLUE CROSS | MI |
| 05 | — | 3215447 | — | MI |