Provider Demographics
NPI:1952956112
Name:ESSYBELLA HEALING PARTNERS LLC
Entity type:Organization
Organization Name:ESSYBELLA HEALING PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:OBIUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:MS/PMP
Authorized Official - Phone:904-832-3635
Mailing Address - Street 1:13990 BARTRAM PARK BLVD UNIT 220
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-5543
Mailing Address - Country:US
Mailing Address - Phone:904-832-3635
Mailing Address - Fax:
Practice Address - Street 1:13990 BARTRAM PARK BLVD UNIT 220
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-5543
Practice Address - Country:US
Practice Address - Phone:904-832-3635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health