Provider Demographics
NPI:1780385682
Name:BELLOZERO LLC
Entity type:Organization
Organization Name:BELLOZERO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BELLO-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-561-9337
Mailing Address - Street 1:8210 WILLIWA AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4172
Mailing Address - Country:US
Mailing Address - Phone:818-561-9337
Mailing Address - Fax:
Practice Address - Street 1:2509 EIDE ST STE 6
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2634
Practice Address - Country:US
Practice Address - Phone:907-301-9780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty