MEDICARE: BETTER DAYS AHEAD FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1174975189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER DAYS AHEAD FOUNDATION

Provider Business Mailing Address
First Line	:	308 SW 25TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-5922
Country	:	US
Telephone Number	:	405-601-4241
Fax Number	:	405-730-8071

Provider Business Practice Location Address
First Line	:	308 SW 25TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-5922
Country	:	US
Telephone Number	:	405-601-4241
Fax Number	:	405-730-8071

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DEREK COLVIN
Credential	:
Telephone Number	:	405-601-4241

Provider Enumeration Date	:	07/01/2016
Last Update Date	:	07/01/2016

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Directions to “BETTER DAYS AHEAD FOUNDATION ” Practice Location

Language	Start Address	Practice Location

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