Provider Demographics
NPI:1407937410
Name:ANNABELLA'S
Entity Type:Organization
Organization Name:ANNABELLA'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:610-296-4610
Mailing Address - Street 1:36 CHESTNUT RD
Mailing Address - Street 2:CHESTNUT VILLAGE SHOPPES
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1565
Mailing Address - Country:US
Mailing Address - Phone:161-029-6610
Mailing Address - Fax:161-029-6461
Practice Address - Street 1:36 CHESTNUT ROAD
Practice Address - Street 2:CHESTNUT VILLAGE SHOPPES
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1565
Practice Address - Country:US
Practice Address - Phone:161-029-6610
Practice Address - Fax:161-029-6461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies