Organization · Type 2 NPI

Nic 4 Bayside Terrace Leasing LLC

Assisted Living Facility · Pinellas Park, FL

NPI number 1528402229 Active

Practice location

9381 U.s. 19
Pinellas Park, FL 33782

Call (727) 576-1234 Map

Fax (727) 570-2257

Mailing address

PO Box 1700, Nic 4 Bayside Terrace Leasing Llc, C/o Holiday Retirement
Lake Oswego, OR 97035

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X6139 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1528402229

Nic 4 Bayside Terrace Leasing LLC's National Provider Identifier is 1528402229, issued on Apr 24, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Pinellas Park, FL. The record was last updated on Dec 8, 2016.