Provider Demographics
NPI:1063726107
Name:BELLE'S ELITE CARE SERVICES
Entity type:Organization
Organization Name:BELLE'S ELITE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYANA
Authorized Official - Middle Name:LASETTE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-382-8359
Mailing Address - Street 1:2815 LOGANBERRY PARK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1418
Mailing Address - Country:US
Mailing Address - Phone:281-382-8359
Mailing Address - Fax:713-697-7979
Practice Address - Street 1:2815 LOGANBERRY PARK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1418
Practice Address - Country:US
Practice Address - Phone:281-382-8359
Practice Address - Fax:713-697-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization