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BAYSIDE MANOR ASSISTED LIVING LLC NPI 1316606528


NPI Information

NPI: 1316606528
Provider Name: BAYSIDE MANOR ASSISTED LIVING LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D0665028

Address:
640 3RD ST
GAYLORD, MN
ZIP 55334
Phone: (507) 237-2911
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BAYSIDE MANOR ASSISTED LIVING LLC is an assisted living facility in Gaylord, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BAYSIDE MANOR ASSISTED LIVING LLC NPI is 1316606528. The provider is registered as an organization entity type.

The provider's business location address is:

640 3RD ST
GAYLORD, MN
ZIP 55334-297
Phone: (507) 237-2911

The provider's authorized official is Joshua Legum .
The authorized official title is President and has the following contact phone number (507) 203-1001.

The CLIA number assigned to this NPI record is 24D0665028 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2021 and was last updated on 12/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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