MEDICARE: A BETTER YOU LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1083498547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BETTER YOU LLC

Provider Business Mailing Address
First Line	:	1415 ARVILLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0053
Country	:	US
Telephone Number	:	702-473-0771
Fax Number	:

Provider Business Practice Location Address
First Line	:	1415 ARVILLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0053
Country	:	US
Telephone Number	:	702-473-0771
Fax Number	:

Authorized Official
Title or Position	:	OWENER
Name	:	ROY RICKETTS
Credential	:
Telephone Number	:	702-473-0771

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	08/24/2023

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Directions to “A BETTER YOU LLC ” Practice Location

Language	Start Address	Practice Location

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