Provider Demographics
NPI:1073190617
Name:A BETTER LIFE COMMUNITY SERVICES, LLC
Entity Type:Organization
Organization Name:A BETTER LIFE COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAVON
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-449-4630
Mailing Address - Street 1:1450 SHADOW CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-4054
Mailing Address - Country:US
Mailing Address - Phone:404-449-4630
Mailing Address - Fax:
Practice Address - Street 1:1450 SHADOW CREEK AVE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-4054
Practice Address - Country:US
Practice Address - Phone:404-449-4630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services