Bayside Care Center LP

NPI #1407669674 in Waukegan, Illinois

Provider Information

NPI Number
1407669674
Entity Type
Organization
Organization Name
Bayside Care Center LP
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Jan 30, 2025
Last Updated
Jan 30, 2025

Practice Location

Address
1100 S LEWIS AVE
ZIP Code
60085-7710
Phone
(847) 244-8196

Authorized Official

Name
KIM M BOULTON
Title
CONTRACT COORDINATOR
Phone
(847) 933-9200

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Mental Illness

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