NIC 4 BAYSIDE TERRACE LEASING LLC NPI 1528402229

NPI Information

NIC 4 BAYSIDE TERRACE LEASING LLC is an assisted living facility in Pinellas Park, FL. 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. NIC 4 BAYSIDE TERRACE LEASING LLC NPI is 1528402229. The provider is registered as an organization entity type.
The provider Is Doing Business As Bayside Terrace.

The provider's business location address is:

9381 U.S. 19
PINELLAS PARK, FL
ZIP 33782
Phone: (727) 576-1234
Fax: (727) 570-2257

The provider's authorized official is Jane Ryu .
The authorized official title is President/ceo/cfo and has the following contact phone number (212) 479-5270.

The CLIA number assigned to this NPI record is 10D0955605 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2013 and was last updated on 12/8/2016.

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:

Other Identifiers

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