| NPI | 1275675696 |
|---|---|
| Doing Business As | BAYSIDE HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ERIC HAGEN President / COO 920-746-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 6547) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WI 6547) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WI 6547) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WI 6547) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: WI 6547) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-04-19 |