Organization Name: | BAYSIDE ASSISTED LIVING, INC. |
NPI Number: | 1104010198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GINNY C. CARLYLE (NURSE MANAGER/DELEGATING NURSE) |
Mailing Address: | 7602 Hewitt Ford Rd Westover |
State: | MD US |
Postal Code: | 218714212 |
Phone Number: | 4106210431 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2007 |
NPI Last Update Date: | 09/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 19AL0008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |