Healthcare Provider Details

I. General information

NPI: 1760165443
Provider Name (Legal Business Name): A BETTER YOU A BETTER ME ADULT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4057 BALWYNNE PARK RD
PHILA PA
19131-1601
US

IV. Provider business mailing address

4057 BALWYNNE PARK RD
PHILA PA
19131-1601
US

V. Phone/Fax

Practice location:
  • Phone: 215-380-5354
  • Fax:
Mailing address:
  • Phone: 215-380-5354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: LATOYA MONTGOMERY
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 215-380-5354