Individual
STEPANIE BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 NW 15TH CT, POMPANO BEACH, FL 33060-5438
(678) 933-6169
Mailing address
157 NW 15TH CT, POMPANO BEACH, FL 33060-5438
(678) 933-6169
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-1799258
—
FL
Enumeration date
07/08/2020
Last updated
07/08/2020
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