Healthcare Provider Details

I. General information

NPI: 1073832408
Provider Name (Legal Business Name): BETTER ALTERNATIVE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 05/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 NATIONS FORD RD STE C5
CHARLOTTE NC
28217-8043
US

IV. Provider business mailing address

7950 NATIONS FORD RD STE C5
CHARLOTTE NC
28217-8043
US

V. Phone/Fax

Practice location:
  • Phone: 910-625-9070
  • Fax:
Mailing address:
  • Phone: 910-625-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: KAREN BRYANT
Title or Position: PARTNER
Credential:
Phone: 910-625-9070