Bayou Estates Llc
Assisted Living Facility in Waldorf, MD(View on Map)
Legal Business Name
Bayou Estates Llc
NPI Number
1184251753
NPI Type
Organization
Enumeration Date
03/24/2020
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
12203 HOLM OAK DR
12203 HOLM OAK DR
City
Waldorf
Waldorf
State
MD
MD
Postal Code
20601-4524
20601-4524
Country
US
US
Telephone Number
(301) 374-8932
(301) 374-8932
Authorized Official
Name
Mrs. Ineisha Johnson Badarou
Title or Position
OWNER
Telephone Number
(301) 503-6723
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/24/2020
Provider Address
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