Organization
BAYSIDE MANOR ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEGUM (PRESIDENT)
(507) 203-1001
Entity
Organization
Contact information
Practice address
640 3RD ST, GAYLORD, MN 55334-2297
(507) 237-2911
Mailing address
2361 NOSTRAND AVE STE 903, BROOKLYN, NY 11210-3953
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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