Provider Demographics
NPI:1821871245
Name:BELLEVIE WELLNESS CARE
Entity Type:Organization
Organization Name:BELLEVIE WELLNESS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-628-2378
Mailing Address - Street 1:18448 NW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3604
Mailing Address - Country:US
Mailing Address - Phone:954-628-2378
Mailing Address - Fax:
Practice Address - Street 1:18448 NW 9TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3604
Practice Address - Country:US
Practice Address - Phone:954-628-2378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty