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Organization
BELLA VIDA DME , LLC.
Active
Organization
BELLA VIDA DME , LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKIE MAE YBARRA (CEO)
(956) 867-3782
Entity
Organization
Contact information
Practice address
2604 N RAUL LONGORIA RD STE 104, SAN JUAN, TX 78589-4212
(956) 867-3782
(956) 715-8017
Mailing address
2604 N RAUL LONGORIA RD STE 104, SAN JUAN, TX 78589-4212
(956) 867-3782
(956) 715-8017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/05/2020
Last updated
05/05/2022
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