Organization
BAYSHORE, LLC
Active
Other names
Lakewood Therapy & Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATHIAS P DASAL (MANAGER OF A MANAGER MANAGED LLC)
(573) 746-7100
Entity
Organization
Contact information
Practice address
260 LAKEPARK DR, HOT SPRINGS, AR 71901-9260
(501) 262-1920
Mailing address
260 LAKEPARK DR, HOT SPRINGS, AR 71901-9260
(501) 262-1920
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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