Organization
LA BELLA HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERBY LUC LPN (LPN NURSING)
(646) 660-2623
Entity
Organization
Contact information
Practice address
22519 114TH RD, CAMBRIA HEIGHTS, NY 11411-1309
(646) 660-2623
Mailing address
225-19 114TH ROAD, CAMBRIA HEIGHTS, NY 11411-1309
(646) 660-2623
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
283560
NY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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