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Organization
BAYOU WELLNESS CENTER INC
Active
Organization
BAYOU WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LINDA MARIE ANDERSON N/A (OWNER)
(985) 882-7620
Entity
Organization
Contact information
Practice address
27403 HWY 190, SUITE B, LACOMBE, LA 70445
(985) 882-7620
(985) 882-7622
Mailing address
27403 HIGHWAY 190 STE B, P O BOX 1550, LACOMBE, LA 70445-6401
(985) 882-7620
(985) 882-7622
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
04/03/2014
Last updated
06/02/2014
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