Healthcare Provider Details

I. General information

NPI: 1023795291
Provider Name (Legal Business Name): BETTER LIFE ADULT CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 DIVISION AVE
NYACK NY
10960-4405
US

IV. Provider business mailing address

100 GRAND AVE
LEONIA NJ
07605-2006
US

V. Phone/Fax

Practice location:
  • Phone: 201-805-0568
  • Fax:
Mailing address:
  • Phone: 201-805-0568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOON HAK LEE
Title or Position: OWNER/CEO
Credential:
Phone: 201-805-0568