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NPI Code Detail

MEDICARE: BAILEYS GROUP HOME INC.

MEDICARE: BAILEYS GROUP HOME INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13104A0625XAssisted Living Facility (Mental Illness)7812AGC-ONV

General Provider Information

NPI Number : 1770997975
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAILEYS GROUP HOME INC.
Provider Business Mailing Address
First Line : 1998 ARCANE AVE
Second Line :
City : RENO
State : NV
Zip : 89503-1403
Country : US
Telephone Number : 775-473-7736
Fax Number : 775-473-7736
Provider Business Practice Location Address
First Line : 1998 ARCANE AVE
Second Line :
City : RENO
State : NV
Zip : 89503-1403
Country : US
Telephone Number : 775-473-7736
Fax Number : 775-473-7736
Authorized Official
Title or Position : PRESIDENT
Name : MR. PAUL DOUGLAS BAILEY
Credential :
Telephone Number : 775-240-4589
Provider Enumeration Date : 06/16/2014
Last Update Date : 06/16/2014

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Directions to “BAILEYS GROUP HOME INC. ” Practice Location

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