NPI 1053575613

Bay Lake Retirement

Organisation Assisted Living Facility Virginia Beach, VA

Practice location

Address: 4225 Shore Dr, Virginia Beach, VA 23455-2870
Phone: (757) 460-8868

Authorised official

Name: Lori Bennett
Title: Administrator
Phone: (757) 460-8868

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1053575613
Entity type: Organization
NPI issued: 14 Jul 2008
Record last updated: 14 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.