Organization
BELLA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE AMPADU APN (OWNER)
(815) 274-5202
Entity
Organization
Contact information
Practice address
357 ASTER CT, ROMEOVILLE, IL 60446-5122
(815) 274-5202
Mailing address
357 ASTER CT, ROMEOVILLE, IL 60446-5122
(815) 274-5202
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192727872001
—
IL
Enumeration date
09/10/2020
Last updated
09/10/2020
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