| 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 |