Organization
BAYSHORE MEMORY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE G. VARNER RN (EXECUTIVE DIRECTOR)
(239) 213-9370
Entity
Organization
Contact information
Practice address
1260 CREEKSIDE BLVD E, NAPLES, FL 34109-0579
(239) 213-9370
(239) 598-5409
Mailing address
1260 CREEKSIDE BLVD E, NAPLES, FL 34109-0579
(239) 213-9370
(239) 598-5409
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AL 12760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL 12760
ASSISTED LIVING LICENSE
FL
Enumeration date
12/15/2015
Last updated
12/15/2015
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