Organization
LA BELLA VITA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALLIE LABELLA LPN (OWNER/PROVIDER)
(573) 864-0089
Entity
Organization
Contact information
Practice address
2814 BURRWOOD DR, COLUMBIA, MO 65203-2908
(573) 864-0089
Mailing address
2814 BURRWOOD DR, COLUMBIA, MO 65203-2908
(573) 864-0089
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
03/25/2021
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