MEDICARE: BELLA ACADEMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1992035505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLA ACADEMY

Provider Business Mailing Address
First Line	:	19114 BELLA DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-3007
Country	:	US
Telephone Number	:	216-481-1500
Fax Number	:	216-481-4515

Provider Business Practice Location Address
First Line	:	19114 BELLA DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-3007
Country	:	US
Telephone Number	:	216-481-1500
Fax Number	:	216-481-4515

Authorized Official
Title or Position	:	SPECIAL EDUCATION COORDINATOR
Name	:	MRS. PEGGY ROMESBERG
Credential	:
Telephone Number	:	216-481-1500

Provider Enumeration Date	:	01/04/2010
Last Update Date	:	01/04/2010

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