Healthcare Provider Details

I. General information

NPI: 1649573544
Provider Name (Legal Business Name): LIVE BETTER NOW, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 DES PERES RD. SUITE 150
ST. LOUIS MO
63131
US

IV. Provider business mailing address

1610 DES PERES RD SUITE 150
SAINT LOUIS MO
63131-1813
US

V. Phone/Fax

Practice location:
  • Phone: 314-835-1100
  • Fax: 314-835-1102
Mailing address:
  • Phone: 317-835-1100
  • Fax: 314-835-1102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DONALD D HECK
Title or Position: VICE PRESIDENT
Credential:
Phone: 314-835-1100