Organization
BAYSIDE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY M VOGEL (OWNER)
(989) 941-0555
Entity
Organization
Contact information
Practice address
3323 N GENRICH DR, SANFORD, MI 48657-9569
(989) 941-0555
(989) 941-0670
Mailing address
3323 N. GENRICH DRIVE, SANFORD, MI 48657-9569
(989) 941-0555
(989) 941-0670
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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