# BAYSIDE HEALTHCARE CENTER LLC

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

## Provider details

- **NPI number:** 1760479166
- **Authorized official:** MR. DANIEL J LABORDE (COO)
- **Authorized official phone:** (985) 429-8800

## Contact information

- **Practice address:** 3201 WALL BLVD, GRETNA, LA 70056-7755
- **Practice address phone:** (504) 393-1515
- **Practice address fax:** (504) 391-7426
- **Mailing address:** 200 W UNIVERSITY AVE, HAMMOND, LA 70401-1319
- **Mailing address phone:** (985) 429-8800
- **Mailing address fax:** (985) 542-0912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 889 | LA | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510912 | — | LA |