Healthcare Provider Details

I. General information

NPI: 1871358424
Provider Name (Legal Business Name): BETTERWAY ADULT DAY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1109 CORNWELL DR
YUKON OK
73099-4631
US

IV. Provider business mailing address

1109 CORNWELL DR
YUKON OK
73099-4631
US

V. Phone/Fax

Practice location:
  • Phone: 405-467-4151
  • Fax:
Mailing address:
  • Phone: 405-467-4151
  • 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: WILL DAUGHERTY
Title or Position: DIRECTOR
Credential:
Phone: 405-612-1694