Provider Demographics
NPI:1841638236
Name:BELLA, MBARGA MARGRATE
Entity type:Individual
Prefix:
First Name:MBARGA
Middle Name:MARGRATE
Last Name:BELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3596 POWDER MILL RD
Mailing Address - Street 2:APT 103
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3536
Mailing Address - Country:US
Mailing Address - Phone:202-545-0936
Mailing Address - Fax:
Practice Address - Street 1:3596 POWDER MILL RD
Practice Address - Street 2:APT 103
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3536
Practice Address - Country:US
Practice Address - Phone:202-545-0936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide