Healthcare Provider Details

I. General information

NPI: 1538813332
Provider Name (Legal Business Name): BETTER LIFE HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25309 WOODFIELD RD
DAMASCUS MD
20872-2328
US

IV. Provider business mailing address

25309 WOODFIELD RD
DAMASCUS MD
20872-2328
US

V. Phone/Fax

Practice location:
  • Phone: 301-728-4907
  • Fax:
Mailing address:
  • Phone: 301-728-4907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. BALGUISSA SAWADOGO
Title or Position: OWNER
Credential: MEDICAL TECHNICIAN
Phone: 301-728-4907