Provider Demographics
NPI:1821326414
Name:BELLA INTIMATES, LLC
Entity Type:Organization
Organization Name:BELLA INTIMATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFM
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MANOUGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:036-964-7775
Mailing Address - Street 1:150 LAFAYETTE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-6134
Mailing Address - Country:US
Mailing Address - Phone:603-964-7775
Mailing Address - Fax:
Practice Address - Street 1:150 LAFAYETTE RD STE 2
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-6134
Practice Address - Country:US
Practice Address - Phone:603-964-7775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-20
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment