# BELLA VIDA HOME HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245546365
- **Authorized official:** MRS. AIDA VIRGINIA ROQUE-DIAZ (PRESIDENT/CEO)
- **Authorized official phone:** (201) 869-4541

## Contact information

- **Practice address:** 317 60TH ST, WEST NEW YORK, NJ 07093-5412
- **Practice address phone:** (201) 869-4541
- **Practice address fax:** (201) 869-3917
- **Mailing address:** 317 60TH ST, WEST NEW YORK, NJ 07093-5412
- **Mailing address phone:** (201) 869-4541
- **Mailing address fax:** (201) 869-3917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 08/26/2010