1033533971 NPI number — BELLES COTTAGE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033533971 NPI number — BELLES COTTAGE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BELLES COTTAGE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033533971
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/12/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4913 61ST DR NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARYSVILLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98270-7552
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-913-0152
Provider Business Mailing Address Fax Number:
360-287-6964

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4933 109TH ST NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARYSVILLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98271-8367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-913-0152
Provider Business Practice Location Address Fax Number:
360-287-6964
Provider Enumeration Date:
02/12/2014

Additional Information

Authorized Official

Authorized Official Last Name:
HANS
Authorized Official First Name:
BALJEET
Authorized Official Middle Name:
KAUR
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
360-913-0152

Provider Taxonomy Codes

  • Taxonomy code: 311ZA0620X , with the licence number:  752536 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 603241613 . This is a "UBI" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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