Healthcare Provider Details

I. General information

NPI: 1033540786
Provider Name (Legal Business Name): BETTER LIVING CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2013
Last Update Date: 12/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1895 S SILVER DR
APACHE JUNCTION AZ
85120-6363
US

IV. Provider business mailing address

1895 S SILVER DR
APACHE JUNCTION AZ
85120-6363
US

V. Phone/Fax

Practice location:
  • Phone: 480-205-3595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberAL8882H
License Number StateAZ

VIII. Authorized Official

Name: LOURDES ALAAN
Title or Position: OWNER/MANAGER
Credential:
Phone: 480-205-3595