Bayside Recovery Llc | |
440 Solomons Island Rd N Suite 222 Prince Frederick MD 20678-3941 | |
(443) 486-5680 | |
(443) 486-5679 |
Full Name | Bayside Recovery Llc |
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Speciality | Community/Behavioral Health |
Location | 440 Solomons Island Rd N, Prince Frederick, Maryland |
Authorized Official Name and Position | Robert Galaher (PROGRAM SPONSOR) |
Authorized Official Contact | 4109915687 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bayside Recovery Llc 440 Solomons Island Rd N Suite 222 Prince Frederick MD 20678-3941 Ph: (443) 486-5680 | Bayside Recovery Llc 440 Solomons Island Rd N Suite 222 Prince Frederick MD 20678-3941 Ph: (443) 486-5680 |
NPI Number | 1235516469 |
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Provider Enumeration Date | 04/27/2015 |
Last Update Date | 11/07/2023 |
Certification Date | 11/07/2023 |
Medicare PECOS PAC ID | 8224469978 |
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Medicare Enrollment ID | O20201023001673 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235516469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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