Organization
BAYWIND VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CECIL WAYNE BARCELO JR. (ADMINISTRATOR OWNER)
(281) 332-9588
Entity
Organization
Contact information
Practice address
411 ALABAMA AVE, LEAGUE CITY, TX 77573-2615
(281) 332-9588
(281) 316-2715
Mailing address
411 ALABAMA AVE, LEAGUE CITY, TX 77573-2615
(281) 332-9588
(281) 316-2715
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000517503
—
TX
05
—
021911501
—
TX
Enumeration date
09/15/2006
Last updated
09/26/2018
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