Healthcare Provider Details

I. General information

NPI: 1518405828
Provider Name (Legal Business Name): BETTER SENIOR CAREHOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2017
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 W 20TH AVE
APACHE JUNCTION AZ
85120-7424
US

IV. Provider business mailing address

1151 W 20TH AVE
APACHE JUNCTION AZ
85120-7424
US

V. Phone/Fax

Practice location:
  • Phone: 480-239-1654
  • Fax:
Mailing address:
  • Phone: 480-239-1654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberAL9836H
License Number StateAZ

VIII. Authorized Official

Name: ARMANDO ALAAN
Title or Position: MANAGER
Credential:
Phone: 480-239-1654