Healthcare Provider Details

I. General information

NPI: 1710658281
Provider Name (Legal Business Name): BETTER HEALTH MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 FAIT AVE
BALTIMORE MD
21224-3834
US

IV. Provider business mailing address

2700 FAIT AVE
BALTIMORE MD
21224-3834
US

V. Phone/Fax

Practice location:
  • Phone: 443-519-8605
  • Fax: 443-320-9011
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: RANDY HALLMAN
Title or Position: PRESIDENT
Credential:
Phone: 443-519-8605