Organization
BAYSHORE HEALTH CARE CENTER
Active
Parent organization
BAYSHORE HEALTH CARE CENTER INC
Other names
The Willows at Holmdel
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYSHORE HEALTH CARE CENTER INC
Authorized official
BARBARA FYFE RN CALA (ADMINISTRATOR)
(732) 335-4405
Entity
Organization
Contact information
Practice address
713 N BEERS ST, HOLMDEL, NJ 07733
(732) 335-4405
(732) 335-4464
Mailing address
713 N BEERS ST, HOLMDEL, NJ 07733
(732) 335-4405
(732) 335-4464
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
550003
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109223
—
NJ
Enumeration date
08/13/2007
Last updated
12/14/2009
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