Organization
BAYAMO ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORNA CAMPBELL (CEO)
(772) 873-2903
Entity
Organization
Contact information
Practice address
1199 SW BAYAMO AVE, PORT SAINT LUCIE, FL 34953-1852
(772) 873-2903
(772) 873-0085
Mailing address
1199 SW BAYAMO AVE, PORT SAINT LUCIE, FL 34953-1852
(772) 873-2903
(772) 873-0085
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6913636 00.
—
FL
Enumeration date
06/20/2008
Last updated
06/20/2008
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