NPI | 1518442771 |
---|---|
Doing Business As | BAYSIDE HOME MEDICAL |
Entity Type | Organization |
Authorized Contact | ERIC HAGEN President/COO 920-746-2158 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-10-03 |
Last Update Date | 2018-10-03 |