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Organization

BAYSHORE HEALTHCARE, INC.

Active
Other names
Bella Vista Transitional Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization

Contact information

Practice address
3033 AUGUSTA ST, SAN LUIS OBISPO, CA 93401-5820
(805) 544-5100
(805) 544-7209
Mailing address
3033 AUGUSTA ST, SAN LUIS OBISPO, CA 93401-5820
(805) 544-5100
(805) 544-7209

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000083
CA

Other

Enumeration date
01/07/2009
Last updated
06/28/2011
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