Provider Demographics
NPI:1639685761
Name:THE BELFORD LLC
Entity Type:Organization
Organization Name:THE BELFORD LLC
Other - Org Name:THE BELFORD LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SARGENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-740-3430
Mailing Address - Street 1:105 E JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-1603
Mailing Address - Country:US
Mailing Address - Phone:215-849-1697
Mailing Address - Fax:215-844-2475
Practice Address - Street 1:105 E JOHNSON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-1603
Practice Address - Country:US
Practice Address - Phone:215-849-1697
Practice Address - Fax:215-844-2475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30583601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health