=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992946024
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BETTER HEALTH CARE ENTERPRISES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2009
-----------------------------------------------------
Last Update Date | 03/19/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 640 NE 149TH ST
-----------------------------------------------------
City | NORTH MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33161-2233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-274-0166
-----------------------------------------------------
Fax | 786-363-9051
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 640 NE 149TH ST
-----------------------------------------------------
City | NORTH MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33161-2233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-274-0166
-----------------------------------------------------
Fax | 786-363-9051
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DAPHNE D CAMPBELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-274-0166
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number | 230471
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------