Provider Demographics
NPI:1720300742
Name:BELL & GOODLOE INC.
Entity Type:Organization
Organization Name:BELL & GOODLOE INC.
Other - Org Name:BELL INDEPENDENT LIVING HOMES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/QMA
Authorized Official - Prefix:MS
Authorized Official - First Name:YAVETTE
Authorized Official - Middle Name:D'NIECE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-782-1102
Mailing Address - Street 1:1176 W LAKE MEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-2415
Mailing Address - Country:US
Mailing Address - Phone:702-782-1102
Mailing Address - Fax:702-642-6968
Practice Address - Street 1:1176 W LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-2415
Practice Address - Country:US
Practice Address - Phone:702-782-1102
Practice Address - Fax:702-642-6968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health