Organization
BAYSIDE ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINNY C. CARLYLE REGISTERED NURSE (NURSE MANAGER/DELEGATING NURSE)
(410) 621-0431
Entity
Organization
Contact information
Practice address
7602 HEWITT FORD RD, WESTOVER, MD 21871-4212
(410) 621-0431
Mailing address
7602 HEWITT FORD RD, P.O. BOX 159, WESTOVER, MD 21871-4212
(410) 621-0431
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
19AL0008
MD
Other
Enumeration date
09/01/2007
Last updated
09/01/2007
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