Organization
BELL OAKS INC SIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY B THOMPSON (ADMINISTRATOR)
(318) 539-5691
Entity
Organization
Contact information
Practice address
228 N MAIN ST, SPRINGHILL, LA 71075-3248
(318) 539-5691
Mailing address
228 N MAIN, SPRINGHILL, LA 71075
(318) 539-5691
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
4456
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1936359
—
LA
Enumeration date
04/11/2007
Last updated
08/22/2020
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