Organization
BELLA VIDA HOME HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIDA VIRGINIA ROQUE-DIAZ (PRESIDENT/CEO)
(201) 869-4541
Entity
Organization
Contact information
Practice address
317 60TH ST, WEST NEW YORK, NJ 07093-5412
(201) 869-4541
(201) 869-3917
Mailing address
317 60TH ST, WEST NEW YORK, NJ 07093-5412
(201) 869-4541
(201) 869-3917
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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