Provider Demographics
NPI:1407437858
Name:BELLO COMMUNITY CENTER CORP
Entity Type:Organization
Organization Name:BELLO COMMUNITY CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-803-8301
Mailing Address - Street 1:155 BENTLEY DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4918
Mailing Address - Country:US
Mailing Address - Phone:786-803-8301
Mailing Address - Fax:786-803-8307
Practice Address - Street 1:155 BENTLEY DR
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-4918
Practice Address - Country:US
Practice Address - Phone:786-803-8301
Practice Address - Fax:786-803-8307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health