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NPI Code Detail

MEDICARE: BETTER LIFE ADULT SOCIAL DAY CARE INC

MEDICARE: BETTER LIFE ADULT SOCIAL DAY CARE INC
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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1265787808
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETTER LIFE ADULT SOCIAL DAY CARE INC
Provider Business Mailing Address
First Line : 900 LENOX RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2603
Country : US
Telephone Number : 347-768-0913
Fax Number :
Provider Business Practice Location Address
First Line : 900 LENOX RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2603
Country : US
Telephone Number : 347-768-0913
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SIMON ILYAICH
Credential :
Telephone Number : 347-768-0913
Provider Enumeration Date : 07/19/2012
Last Update Date : 07/19/2012

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Directions to “BETTER LIFE ADULT SOCIAL DAY CARE INC ” Practice Location

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