Organization
BAYSIDE NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN MARIE ST ONGE (CEO)
(401) 921-5995
Entity
Organization
Contact information
Practice address
177 AIRPORT ROAD, WARWICK, RI 02889
(401) 921-5995
Mailing address
177 AIRPORT ROAD, WARWICK, RI 02889
(401) 921-5995
(401) 921-5998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HN02321
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BN02295
—
RI
Enumeration date
03/20/2007
Last updated
02/11/2009
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