Bayou Estates LLC
NPI #1184251753 in Waldorf, Maryland
Provider Information
- NPI Number
- 1184251753
- Entity Type
- Organization
- Organization Name
- Bayou Estates LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 24, 2020
- Last Updated
- Mar 24, 2020
Practice Location
Authorized Official
- Name
- MRS. INEISHA JOHNSON BADAROU
- Title
- OWNER
- Phone
- (301) 503-6723
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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