| NPI | 1912570904 |
|---|---|
| Doing Business As | BAYSIDE HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RAE ANN JOSEPHINE GOSSER Billing Coordinator 920-473-4733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |