Provider Demographics
NPI:1821777186
Name:SAVED BY THE BELL'S PROACTIVE HEALTH CARE, LLC
Entity Type:Organization
Organization Name:SAVED BY THE BELL'S PROACTIVE HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:SHANTERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-727-4428
Mailing Address - Street 1:1441 BRANDYWINE RD APT 900F
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2052
Mailing Address - Country:US
Mailing Address - Phone:561-727-4428
Mailing Address - Fax:
Practice Address - Street 1:1441 BRANDYWINE RD APT 900F
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2052
Practice Address - Country:US
Practice Address - Phone:561-727-4428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty