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General NPI Number Information
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NPI Number | 1619749033
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Entity Type | Organization
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Legal Business Name | BELLE'S HOULSE, LLC
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 613 HIGH ST NW
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City | CARROLLTON
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State | OH
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Zip | 44615-1137
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Country | US
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Telephone | 419-217-1012
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Fax | 844-862-7019
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Provider Business Mailing Address
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Address Line | 3241 ANTIGUA RD SW
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City | CARROLLTON
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State | OH
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Zip | 44615-9273
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Country | US
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Telephone | 330-735-1515
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Fax | 844-862-7019
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MINDY LYNN WEILAND
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Credential |
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Telephone | 419-217-1012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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