| Organization Name: | BAYOU WELLNESS CENTER, INC. |
| NPI Number: | 1083854087 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA MARIE ANDERSON (CEO/OWNER) |
| Mailing Address: | 27403 Hwy 190, Suite B Lacombe |
| State: | LA US |
| Postal Code: | 704451550 |
| Phone Number: | 9852189555 |
| Fax Number: | 9852189557 |
| NPI Enumeration Date: | 03/03/2009 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |