Provider Demographics
NPI:1154835155
Name:BETTER GROUP HOME INCORPORATED
Entity Type:Organization
Organization Name:BETTER GROUP HOME INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:CORDILIA
Authorized Official - Last Name:EGEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-358-5196
Mailing Address - Street 1:905 BELCLAIR CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104
Mailing Address - Country:US
Mailing Address - Phone:469-358-5195
Mailing Address - Fax:
Practice Address - Street 1:5436 MONTAGUE LANE
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052
Practice Address - Country:US
Practice Address - Phone:469-358-5195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health