Healthcare Provider Details

I. General information

NPI: 1316187818
Provider Name (Legal Business Name): BETTER LIFE CHIROPRACTIC & REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 06/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 S GOVERNORS AVE
DOVER DE
19904-6903
US

IV. Provider business mailing address

1111 S GOVERNORS AVE
DOVER DE
19904-6903
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-2225
  • Fax:
Mailing address:
  • Phone: 302-734-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberF1-0000724
License Number StateDE

VIII. Authorized Official

Name: DR. MIMI R SKOCIK
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 302-734-2225