Organization
GENESIS HEALTH CARE/BAYVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA M LARGE (OCCUPATIONAL THERAPIST ASSISTANT)
(386) 624-7467
Entity
Organization
Contact information
Practice address
301 S BAY ST, EUTIS, FL 32726
(352) 357-8105
Mailing address
301 SOUTH BAY, EUTIS, FL 32726
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA10894
FL
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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