Provider Demographics
NPI:1033533971
Name:BELLES COTTAGE INC.
Entity Type:Organization
Organization Name:BELLES COTTAGE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BALJEET
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:HANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-913-0152
Mailing Address - Street 1:4913 61ST DR NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-7552
Mailing Address - Country:US
Mailing Address - Phone:360-913-0152
Mailing Address - Fax:360-287-6964
Practice Address - Street 1:4933 109TH ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-8367
Practice Address - Country:US
Practice Address - Phone:360-913-0152
Practice Address - Fax:360-287-6964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA752536311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA603241613OtherUBI