MEDICARE: LIVE BETTER NOW, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1649573544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVE BETTER NOW, INC.

Provider Business Mailing Address
First Line	:	1610 DES PERES RD
Second Line	:	SUITE 150
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-1813
Country	:	US
Telephone Number	:	317-835-1100
Fax Number	:	314-835-1102

Provider Business Practice Location Address
First Line	:	1610 DES PERES RD.
Second Line	:	SUITE 150
City	:	ST. LOUIS
State	:	MO
Zip	:	63131
Country	:	US
Telephone Number	:	314-835-1100
Fax Number	:	314-835-1102

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DONALD D HECK
Credential	:
Telephone Number	:	314-835-1100

Provider Enumeration Date	:	12/15/2010
Last Update Date	:	12/15/2010

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Directions to “LIVE BETTER NOW, INC. ” Practice Location

Language	Start Address	Practice Location

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