Healthcare Provider Details

I. General information

NPI: 1679011159
Provider Name (Legal Business Name): A BETTER LIFE ADULT DAY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8313 W HILLSBOROUGH AVE BUILDING 400
TAMPA FL
33615-3816
US

IV. Provider business mailing address

8313 W HILLSBOROUGH AVE BUILDING 400
TAMPA FL
33615-3816
US

V. Phone/Fax

Practice location:
  • Phone: 813-999-4945
  • Fax: 813-898-8287
Mailing address:
  • Phone: 813-999-4945
  • Fax: 813-898-8287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number9381
License Number StateFL

VIII. Authorized Official

Name: LAZARO CEPEDA
Title or Position: ADMIN
Credential:
Phone: 813-999-4945