Organization
BAY LAKE RETIREMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI BENNETT (ADMINISTRATOR)
(757) 460-8868
Entity
Organization
Contact information
Practice address
4225 SHORE DR, VIRGINIA BEACH, VA 23455-2870
(757) 460-8868
Mailing address
4225 SHORE DR, VIRGINIA BEACH, VA 23455-2870
(757) 460-8868
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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