Organization
BAYSIDE FACILITY INC
Active
Other names
Bayside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BLEICH (AUTHORIZED REPRESENTATIVE)
(845) 641-8314
Entity
Organization
Contact information
Practice address
811 JACKSON ST N, ST PETERSBURG, FL 33705-1238
(727) 209-1717
Mailing address
4302 HOLLYWOOD BLVD, #369, HOLLYWOOD, FL 33021-6635
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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