Organization
BAYSIDE HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J LABORDE (COO)
(985) 429-8800
Entity
Organization
Contact information
Practice address
3201 WALL BLVD, GRETNA, LA 70056-7755
(504) 393-1515
(504) 391-7426
Mailing address
200 W UNIVERSITY AVE, HAMMOND, LA 70401-1319
(985) 429-8800
(985) 542-0912
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
889
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510912
—
LA
Enumeration date
09/30/2005
Last updated
06/16/2008
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