Organization Name: | BELLA ENTERPRISES LLC |
NPI Number: | 1154644144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY KAECHELE (PRESIDENT/OWNER) |
Mailing Address: | 404 N Mcewan St Suite B Clare |
State: | MI US |
Postal Code: | 486171403 |
Phone Number: | 9894246500 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2010 |
NPI Last Update Date: | 03/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |