Organization
BAILEY ASSOCIATES INC.
Active
Other names
Lakeside Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LLOYD BAILEY (PRESIDENT)
(619) 561-8626
Entity
Organization
Contact information
Practice address
9308 EMERALD GROVE AVE, LAKESIDE, CA 92040-3718
(619) 561-8626
(619) 561-6561
Mailing address
9308 EMERALD GROVE AVE, LAKESIDE, CA 92040-3718
(619) 561-8626
(619) 561-6561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
374600038
CA
311500000X
Alzheimer Center (Dementia Center)
Primary
374600038
CA
315D00000X
Inpatient Hospice
374600038
CA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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