Organization
BAYSIDE ADULT FAMILY CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVIS WORGES (OWNER)
(407) 396-1323
Entity
Organization
Contact information
Practice address
4314 BAYSIDE DR, KISSIMMEE, FL 34746-6054
(407) 396-1323
Mailing address
4314 BAYSIDE DR, KISSIMMEE, FL 34746-6054
(407) 396-1323
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906427
FL
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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