Organization
BAYSIDE SNF LLC
Active
Other names
Bayside Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN POWELL (ADMINISTRATOR)
(757) 464-4058
Entity
Organization
Contact information
Practice address
1004 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5503
(757) 464-4058
Mailing address
1004 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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