Healthcare Provider Details

I. General information

NPI: 1376869222
Provider Name (Legal Business Name): J AND B BELL ENTERPRISES,L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2010
Last Update Date: 04/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W WASHINGTON ST
BRIGHTON IA
52540-7735
US

IV. Provider business mailing address

201 W WASHINGTON ST P.O. BOX 158
BRIGHTON IA
52540-7735
US

V. Phone/Fax

Practice location:
  • Phone: 319-461-7798
  • Fax:
Mailing address:
  • Phone: 319-461-7798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberP37235
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberP37235
License Number StateIA

VIII. Authorized Official

Name: MRS. BONNIE PEARL LANDON BELL
Title or Position: OWNER
Credential: LPN
Phone: 319-461-7798