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NPI Code Detail

MEDICARE: BAYVIEW MANOR HOMES

MEDICARE: BAYVIEW MANOR HOMES
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
1314000000XSkilled Nursing FacilityNH461WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528059094
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYVIEW MANOR HOMES
Provider Business Mailing Address
First Line : 11 W ALOHA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98119-3743
Country : US
Telephone Number : 206-284-7330
Fax Number : 206-284-9640
Provider Business Practice Location Address
First Line : 11 W ALOHA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98119-3743
Country : US
Telephone Number : 206-284-7330
Fax Number : 206-284-9640
Authorized Official
Title or Position : CEO
Name : RICHARD D TOMLINSON
Credential :
Telephone Number : 206-284-7330
Provider Enumeration Date : 11/02/2005
Last Update Date : 11/21/2011

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Directions to “BAYVIEW MANOR HOMES ” Practice Location

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