Provider Demographics
NPI:1780822262
Name:BELL THERAPY, INC
Entity Type:Organization
Organization Name:BELL THERAPY, INC
Other - Org Name:DAY ONE EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF DAY AND VOCATIONAL SERV
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUP
Authorized Official - Middle Name:R
Authorized Official - Last Name:PULVERMAHCER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-463-8777
Mailing Address - Street 1:6414 W FOND DU LAC AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-4917
Mailing Address - Country:US
Mailing Address - Phone:414-463-8777
Mailing Address - Fax:
Practice Address - Street 1:6414 W FOND DU LAC AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-4917
Practice Address - Country:US
Practice Address - Phone:414-463-8777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHOENIX CARE SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42550600Medicaid