| NPI | 1912022948 |
|---|---|
| Doing Business As | BAYVIEW TERRACE |
| Entity Type | Organization |
| Authorized Contact | LISA ANN COOPER Administrator 907-481-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |