| Organization Name: | BAYOU WELLNESS CENTER INC |
| NPI Number: | 1598183899 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA MARIE ANDERSON (OWNER) |
| Mailing Address: | 27403 Hwy 190 Suite B Lacombe |
| State: | LA US |
| Postal Code: | 70445 |
| Phone Number: | 9858827620 |
| Fax Number: | 9858827622 |
| NPI Enumeration Date: | 04/03/2014 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |