Organization · NPI-2

Bayside Nursing LLC

Home Health · Warwick, RI

NPI number1417072273
StatusActive
Last updated in NPPESFeb 11, 2009

Details

NPI
1417072273
Entity type
Organization (NPI-2)
Legal business name
Bayside Nursing LLC
Organization subpart
No
Enumeration date
Mar 20, 2007
Last updated
Feb 11, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthHN02321RIYes

Practice location

177 Airport Road
Warwick, RI 02889

Phone 401-921-5995

Mailing address

177 Airport Road
Warwick, RI 02889

Phone 401-921-5995 · Fax 401-921-5998

Authorized official

Ann Marie St Onge
Ceo
4019215995

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