Organization
BAYSIDE MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEGUM (MANAGER)
(507) 203-1001
Entity
Organization
Contact information
Practice address
640 3RD ST, GAYLORD, MN 55334-2297
(507) 237-2911
Mailing address
638 SOUTHBEND AVE, MANKATO, MN 56001-2168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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