| Organization Name: | BELLE OAKS ADULT DAY HEALTH CENTER, LLC |
| NPI Number: | 1831434067 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LELA FANNING (OWNER) |
| Mailing Address: | 207 West Pine St Ponchatoula |
| State: | LA US |
| Postal Code: | 70454 |
| Phone Number: | 9853707618 |
| Fax Number: | 9853707682 |
| NPI Enumeration Date: | 11/28/2012 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |